Entrar/Registro  
HOME SPANISH
 
Cirugía y Cirujanos
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Cirugía y Cirujanos >Year 2010, Issue 1


García-Hernández C, Carvajal-Figueroa L, Dueñas-Ramírez JC, Landa-Juárez S
Tratamiento del quiste esplénico mediante esplenectomía parcial laparoscópica. Presentación de un caso
Cir Cir 2010; 78 (1)

Language: Español
References: 12
Page: 83-85
PDF: 170.94 Kb.


Full text




ABSTRACT

Background: Congenital splenic cysts are rare. They have a tendency to bleed, to become infected or to rupture and, for these reasons, must be treated. Treatment using splenectomy has the advantage of not presenting recurrence but carries the risk of immunological complications. Treatment through aspiration of the cyst or decapsulation preserves the spleen but with a high rate of recurrence. Optimal treatment is partial splenectomy. A portion of healthy splenic tissue is included that avoids recurrence and preserves the organ. We report the case of a child with a splenic cyst resolved by partial splenectomy done laparoscopically.
Clinical case: We report the case of a 7-year-old female with abdominal pain and hemi-abdominal mass in the upper left abdomen. With the use of ultrasound and tomography, a splenic cyst was detected. With laparoscopy, a partial splenectomy was performed with harmonic scalpel at 0.5 cm from the outer cyst. The patient was released the next day without complications and was followed-up for 1 year.
Conclusions: Laparoscopic approach allows resection of splenic cysts with a margin of healthy tissue without risk of bleeding or recurrence. Patient recovery is rapid, avoiding the morbidity associated with large incisions.


Key words: Splenic cyst, laparoscopy.


REFERENCIAS

  1. Cuervo JL, Buela E. Splenic epidermoid cyst: laparoscopic partial decapsulation. Cir Pediatr 2007;20:63-67.

  2. Geraghty M, Khan IZ, Conlon KC. Large primary splenic cyst: a laparoscopic technique. J Min Access Surg 2009;5:14-16.

  3. Fowler RH. Surgery of cysts of spIeen. Ann Surg 1921;74:20-36.

  4. Martin JW. Congenital splenic cyst. Am J Surg 1958;96:302-308.

  5. Warshauer DM, Hall HL. Solitary splenic lesions. Semin Ultrasound CT MR. 2006;27:370-388.

  6. Catarina-Prior A, Recamán-Miguez M, Teixeira F, Ribeiro-Castro J. Prenatal diagnosis and follow-up of congenital splenic cyst. Anal Pediatr 2006;64:492-495.

  7. Pang WB, Zhang TC, Chen YJ, Zhang JZ. Space-occupying benign lesions in spleen: experiences in a single institute. Pediatr Surg Int 2009;25:31-35.

  8. Chen IL, Tsai CC, Yaung SN, Liu CA, Hsu TY, Huang HC. Spontaneous regression of congenital splenic cyst in a neonate. Clin Pediatr 2007;46:73-75.

  9. Gumbs AA, Bouhanna P, Bar-Zakai B, Briennon X, Gayet B. Laparoscopic partial splenectomy using radiofrequency ablation. J Laparoendosc Adv Surg Tech A 2008;18:611-613.

  10. Meunier A, Closset J, Cassart M, Houben JJ, Lingier P. Management of congenital and post-traumatic splenic cysts in children. Hepatogastroenterology 2008;55:286-288.

  11. Mackenzie RK, Youngson GG, Mahomed AA. Laparoscopic decapsulation of congenital splenic cysts: a step forward in splenic preservation. J Pediatr Surg 2004;39:88-90.

  12. Jain P, Parelkar S, Shah H, Sanghvi B. Laparoscopic partial splenec






>Journals >Cirugía y Cirujanos >Year 2010, Issue 1
 

· Journal Index 
· Links 






       
Copyright 2019