Laparoscopic organ-sparing surgery for cystic lesions of the spleen - own observations

Pol Przegl Chir. 2022 Jan 26;94(5):9-12. doi: 10.5604/01.3001.0015.7089.

Abstract

<b>Introduction:</b> Splenic cysts are quite rare. In this publication, authors focus on presenting their own observations related to the management of patients with such lesions. </br></br> <b> Aim:</b> To evaluate the effectiveness of laparoscopic procedures in the case of patients with splenic cysts. </br></br> <b>Material and methods:</b> The study included patients treated surgically for cystic lesions located in the spleen at the 2<sup>nd</sup> Department of General, Gastroenterological and Oncological Surgery of the Medical University of Bialystok over the years 2017-01.2020. </br></br> <b>Results:</b> All patients were referred for elective excision of the spleen lesion (the size of the lesions ranged from 7 to 15 cm - based on CT examination). In all cases, excision of the anterior wall of the cyst was performed with the help of advanced surgical tools. The duration of the procedure ranged between 65 and 100 minutes. No significant blood loss was observed. No postoperative complications were found. </br></br> <b>Conclusions:</b> In conclusion, sparing laparoscopic surgery for cystic lesions of the spleen seem to be safe and rarely associated with complications or relapses. Extending the scope of the procedure to total splenectomy should also not pose a major problem.

Keywords: laparoscopy; splenic cyst; true cyst.

MeSH terms

  • Cysts* / surgery
  • Humans
  • Laparoscopy* / methods
  • Neoplasm Recurrence, Local / surgery
  • Splenic Diseases* / etiology
  • Splenic Diseases* / surgery