Department of Gastroenterological Surgery, New Tokyo Hospital, Matsudo, Japan.
Asian J Endosc Surg. 2024 Jul;17(3):e13335. doi: 10.1111/ases.13335.
Laparoscopic fenestration is the preferred treatment for symptomatic splenic cysts because it is curative and spleen-sparing. We report a case of a 25-year-old female who underwent laparoscopic fenestration for a giant splenic cyst using a single-incision plus one-port approach. She presented to our hospital with repeated vomiting. Imaging showed a 23 × 18 cm splenic cyst with no solid components, strongly compressing the stomach to the right side. Laparoscopic fenestration was initiated through a 2.5-cm umbilical incision, and a 5-mm port was added in the left abdomen intraoperatively. The drain placement was deemed necessary to prevent abscess formation and post-operative bleeding because of a thick cyst component and unexpectedly thick wall. Splenic cysts are typically benign and commonly develop in young people, hence, organ preservation and cosmetic results are crucial. Laparoscopic fenestration using single-incision plus one-port is considered to be an appropriate procedure for giant splenic cysts with non-serous contents.
腹腔镜开窗术是治疗有症状的脾囊肿的首选方法，因为它具有治愈性且能保留脾脏。我们报告了一例 25 岁女性患者，因巨大脾囊肿采用单切口加单孔腹腔镜开窗术治疗。她因反复呕吐就诊于我院。影像学检查显示脾囊肿 23×18cm，无实性成分，强烈压迫胃向右。通过脐部 2.5cm 切口开始腹腔镜开窗术，术中在左腹部加用 5mm 端口。由于囊肿成分较厚且囊壁出乎意料地厚，为了防止脓肿形成和术后出血，需要放置引流管。脾囊肿通常为良性，常见于年轻人，因此，保留器官和美容效果至关重要。对于非浆液性内容物的巨大脾囊肿，采用单切口加单孔腹腔镜开窗术被认为是一种合适的手术方法。
