Partial laparoscopic decapsulation of congenital splenic cysts: a medium-term evaluation proves the efficiency in children

Till, Holger; Schaarschmidt, K.

doi:10.1007/s00464-003-9046-4

Cited by 37 publications

(11 citation statements)

References 17 publications

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“…Preservation of at least 25% of the spleen appears sufficient to protect against pneumococcal pneumonia. Most recent reports describe successful experience with partial splenectomy, cyst wall resection, or partial decapsulation, which may be accomplished with either an open or laparoscopic approach [14]. Partial splenectomy is recommended, if the cyst is located at the poles of the spleen, or if the cyst cavity is deep, due to the higher risk of recurrence [15].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous regression of a true splenic cyst: a case report and review of the literature

Stoidis

Spyropoulos

Misiakos

et al. 2009

Cases J

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Splenic cysts are rare clinical findings, detected due to derivative symptoms or as a random discovery in abdominal imaging. Although there still remains controversy as to their optimal treatment, bigger secondary cysts should be treated surgically. However, spontaneous regression may be observed in cysts with a diameter smaller than 4 cm. In these cases, expectant treatment is preferable. We report, herein, a single case of a splenic cyst in an adult woman, who reported minor symptoms despite the size of the lesion and who demonstrated a possible almost total regression of the cyst within a ten-year period, accompanying with review of the most recent literature.

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Section: Discussionmentioning

confidence: 99%

Spontaneous regression of a true splenic cyst: a case report and review of the literature

Stoidis

Spyropoulos

Misiakos

et al. 2009

Cases J

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“…Optimum spleen preserving modes of treatment include partial splenectomy, marsupialization, cystectomy, decapsulation and deroofing or fenestration [ 1 , 10 , 11 ]. Studies have led credence to the fenestration procedure showing acceptable rates of recurrence with the laparoscopic approach if as much as possible cyst wall is aptly excised so as to prevent reclosure of cyst [ 9 , 12 – 14 ]. However, this type of management can be carried out only if the cyst is observed to be superficial and located at the poles.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic splenic cyst fenestration—a viable spleen preserving option

Khafaji

Younis

2017

Journal of Surgical Case Reports

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Cystic lesions of the spleen are a rare encounter in surgical practice and are broadly split into two categories: true and false, depending upon the presence of a defined epithelial lining. True cysts can further be broken down into parasitic and non-parasitic origins while false or pseudocysts tend to develop commonly after a traumatic event. We present here a 23-year-old female who came to the clinic with symptoms of abdominal fullness, early satiety and left flank pain which was diagnosed as a large splenic cyst after radiology confirmation. The patient was prepared and underwent laparoscopic splenic cyst fenestration successfully without any complications. Laparoscopic fenestration for benign uncomplicated splenic cysts is a viable alternative to splenectomy with low rates of recurrence and less patient morbidity along with the advantage of preservation of splenic function.

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“…Currently, the trend has shifted to more conservative surgery with the demonstration of increased mortality of splenectomized patients due to overwhelming post-splenectomy sepsis. Because of the increased risk of complications, splenic cysts with a diameter larger than 4-5 cm should be managed surgically[11] because conservative options, such as percutaneous aspiration or sclerosis, do not result in long-term control. There are different types of surgical treatment according to the patient's age and the size, location and nature of the cyst.…”

Section: Discussionmentioning

confidence: 99%

Epithelial cyst of the spleen

Daga

Mittal

Singh

et al. 2011

J Indian Assoc Pediatr Surg

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Partial laparoscopic decapsulation of congenital splenic cysts: a medium-term evaluation proves the efficiency in children

Abstract: Partial laparoscopic decapsulation is an advantageous approach to large splenic cysts in children, because it is effective, preserves splenic tissue, and provides good medium-term results.

Cited by 37 publications

References 17 publications

Spontaneous regression of a true splenic cyst: a case report and review of the literature

Spontaneous regression of a true splenic cyst: a case report and review of the literature

Laparoscopic splenic cyst fenestration—a viable spleen preserving option

Epithelial cyst of the spleen

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