Laparoscopic fenestration and modified marsupialization of posttraumatic splenic cysts using a harmonic scalpel

Abstract

In recent years, the advanced laparoscopic experience has revolutionized surgery and fostered the expansion of the indications for minimally invasive surgery in the diagnosis and treatment of all intra-abdominal pathology. Total splenectomy, which traditionally was the procedure of choice in the treatment of symptomatic nonparasitic splenic cysts, recently has been changed to a more conservative approach by many authors [1, 5, 9]. The conservative methods preserve immunologic function of the spleen and prevent the potentially fatal postsplenectomy sepsis complications [9]. We successfully performed laparoscopic fenestration and modified marsupialization of these cysts using a harmonic scalpel on two patients with symptomatic splenic psuedocysts.

How to Prevent Lateral Thermal Damage to Tissue Using the Harmonic Scalpel: Experimental Study on Pig Small Intestine and Abdominal Wall

“…The harmonic scalpel is used in many different operations, including cholecystectomy [2,5,8] , appendectomy [2,9] , fenestration of abdominal cysts [2,10] , reflux esophagitis procedures [11] , large bowel operations [12][13][14] , stomach resection [15][16][17] , liver resection [18] , splenectomy [19] , and fenestration of non-parasitic spleen and liver cysts [20][21][22] . Recently, the harmonic scalpel has been used in transanal endoscopic microsurgery [23][24][25] , endoscopic inguinal and abdominal wall hernia operations [2,26,27] , and hemorrhoidectomy [28] .…”

Quiste epidermoide de bazo

“…5 En cuanto a la táctica para implementar, existen muchos tipos de intervenciones, desde punciones y aspiración percutánea hasta la esplenectomía. La punción y aspiración percutánea, incluso asociando inyección de agentes químicos como el alcohol para promover la fibrosis, como tratamiento definitivo han tenido malos resultados ya que existe una alta tasa de recurrencia 6 .…”

Giant abscessed splenic cyst

“…С развитием видеоэндохирургических технологий получила широкое распространение лапароскопи-ческая спленэктомия. При наличии гигантских кист хирургическое лечение чаще всего выполнялось в два этапа: пункция и дренирование кисты под кон-тролем визуализирующих методик с последующей лапароскопической спленэктомией [7][8][9]. Пред-ставлен случай успешного одномоментного лапаро-скопического вмешательства по поводу гигантской нагноившейся кисты селезенки.…”