Giant Nonparasitic Splenic Cyst Managed by Minilaparoscopy

Abstract

Introduction: Nonparasitic splenic cyst (NPSC) is a rare disease of the spleen and is categorized as a true or pseudocyst. Traditionally, the management of NPSC is partial or total splenectomy by laparotomy; however, minimally invasive surgery has shown efficacy in the treatment of this disease and is currently considered the gold standard treatment.

Resection of a giant nonparasitic splenic cyst by minilaparoscopy

“…The surgical approach is indicated for symptomatic cysts or those with a diameter >5 cm because of the increased risk of bleeding, rupture and infection. [ 3 ] Total laparotomy splenectomy used to be the surgical treatment of choice for splenic cysts. However, the minimally invasive approach has been shown to be effective in these cases and is currently considered the gold standard.…”

“…Currently, minimally invasive surgery has been considered the gold standard approach due to its effectiveness. [ 2 3 ]…”

Resection of giant hepatic cyst by hybrid minilaparoscopy

“…Surgical treatment is indicated only for cysts with a diameter ≥6 cm, those with associated symptoms or exhibiting increased diameter on ultrasound monitoring. [3]…”

“…Conventionally, management of non-parasitic cysts would be by partial or total resection by laparotomy, but minimally invasive surgery has been shown to be efficacious in treating this disease. [234]…”

“…The pneumoperitoneum was made using the open transumbilical technique, introducing a 10 mm trocar into an umbilical incision, as described previously. [3] Two working mini low-friction trocars of 3 mm (one subxiphoid and one at left lower quadrant) were inserted. A 5 mm trocar on the left flank was inserted to use a harmonic scalpel.…”