Yano H, Asaoka T, Iwazawa T, Kinuta M, Monden T, Okamoto S
Department of Surgery, NTT West Osaka Hospital, Osaka, Japan.
J Laparoendosc Adv Surg Tech A. 2003 Apr;13(2):113-6. doi: 10.1089/109264203764654759.
We report the case of a huge splenic cyst that was successfully treated by hand-assisted laparoscopic splenectomy. A 17-year-old girl with a chief complaint of left-sided abdominal pain was admitted to our department for investigation of a splenic tumor. Ultrasonography, computed tomography, and magnetic resonance imaging revealed a huge cystic lesion in the spleen measuring approximately 10 cm in diameter. Hand-assisted laparoscopic splenectomy was safely performed to diagnose and treat the splenic tumor. The histologic diagnosis was an epithelial cyst of the spleen with no atypical cells in the cyst wall. Hand-assisted laparoscopic splenectomy may be a good method of managing a huge splenic cyst that becomes symptomatic and potentially life-threatening through enlargement, rupture, and secondary infection.
我们报告了一例巨大脾囊肿经手辅助腹腔镜脾切除术成功治疗的病例。一名17岁女孩因左侧腹痛为主诉入院，在我们科室接受脾肿瘤检查。超声、计算机断层扫描和磁共振成像显示脾脏有一个巨大的囊性病变，直径约10厘米。安全实施了手辅助腹腔镜脾切除术以诊断和治疗脾肿瘤。组织学诊断为脾上皮囊肿，囊肿壁无非典型细胞。手辅助腹腔镜脾切除术可能是处理巨大脾囊肿的一种好方法，这种囊肿因增大、破裂和继发感染而出现症状并可能危及生命。
