Laparoscoipc Partial Splenectomy for Large Primary Splenic Cyst

Francesco Puccio, MD, FACS; Massimiliano Solazzo, MD; Gianpiero Pandolfo, MD; Stefano Chiodini, MD; Paolo Marciano, MD; Stefano Serventi, MD

Product Details
Product ID: ACS-2495
Year Produced: 2006
Length: 11 min.


Splenic cysts are of two major types: primary and secondary. According to Martin's classification splenic cysts are divided in primary, or true cysts (those with a cellular lining), and secondary, or false cysts (those without a true cellular lining). The primary cysts are further classified as parasitic and nonparasitic; the nonparasitic cysts are either congenital or neoplastic. Secondary cysts are thought to arise as a result of trauma, are also named pseudocysts. The management of splenic cysts was until recently uniformly splenectomy. Increasing awareness of the immunologic role of the spleen and the consequent desire to preserve the spleen, combined with advancements in current imaging modalities, have resulted in more conservative treatment. Nonparasitic primary splenic cysts larger than 5cm seem to be prone to the complications of rupture and infection and should undergo treatment. We present a case of a 32 year old woman with a 10cm non parasitic cyst in the anterosuperior part of the spleen. We were able to perform a laparoscopic partial splenectomy and preserve most of the spleen. Postoperative period was uneventful, and the patient was discharged home 3 days after surgery. Laparoscopic partial splenectomy is a safe and feasible option in the treatment of splenic cyst.