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JSLS. 2007 Jan-Mar;11(1):20-3.

A ten-year experience with laparoscopic treatment of splenic cysts.

Author information

1
Department of Surgery, Mount Sinai School of Medicine, New York, New York 10029, USA. edward.chin@mountsinai.org

Abstract

BACKGROUND AND OBJECTIVES:

The management of symptomatic splenic cysts lacks clear, evidence-based guidelines due to its low incidence. Recently, laparoscopic treatment has been described. We present our experience with the laparoscopic management of solitary splenic cysts with a review of the existing literature, and recommendations for therapy.

METHODS:

All patients who underwent laparoscopic treatment of splenic cysts over a 10-year period were identified. The medical records of these 9 patients were reviewed.

RESULTS:

All surgeries were performed laparoscopically, with no conversions. Two patients underwent cyst decapsulation, and 7 patients underwent cyst unroofing. No major complications occurred. Recurrence occurred in 33.3% of patients; unroofing had a recurrence rate of 42.9% compared with 0% after decapsulation. Pseudocysts were found in 66.7% of patients and true cysts on final pathology were found in 33.3%.

CONCLUSIONS:

Laparoscopic decapsulation and unroofing of splenic cysts are safe procedures that confer the advantages of both splenic preservation and minimally invasive surgery. Cyst unroofing has a high recurrence and should be selectively used. Laparoscopic cyst decapsulation is associated with longer operative time, but should be considered as first-line therapy.

PMID:
17651551
PMCID:
PMC3015798
[Indexed for MEDLINE]
Free PMC Article

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