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A Novel Minimally Invasive Approach to a Symptomatic Splenic Cyst
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Talk Descripción

Institución: Gold Coast University Hospital - Queensland, Australia

Background: Splenic cysts are uncommon and increasingly managed with minimally invasive, spleen-preserving techniques to maintain immunologic function. Partial splenectomy offers definitive treatment but is technically demanding because of the risk of haemorrhage. Pre-operative selective splenic artery embolisation (SAE) can reduce arterial inflow, define a resection plane, and facilitate safer parenchymal transection. Case Presentation: An 18-year-old male with a recurrent symptomatic splenic cyst underwent selective distal SAE targeting the short gastric and superior splenic branches, followed one day later by laparoscopic partial splenectomy. Embolisation produced a clear demarcation between devascularised and perfused parenchyma, enabling precise dissection. The operation was completed laparoscopically using energy devices with an estimated blood loss of 150 mL. He was discharged on postoperative day 4 without complications. Histopathology confirmed a benign squamous cyst, and follow-up imaging at three months demonstrated no recurrence. Discussion: To our knowledge, laparoscopic partial splenectomy performed after selective distal SAE for a benign splenic cyst has not previously been described. A prior robotic series described pre-operative selective embolisation with indocyanine green guidance for cystic disease but not a laparoscopic approach.¹ Earlier open reports also demonstrated that selective embolisation can safely facilitate partial splenectomy for non-cystic pathology such as hamartoma.² This case extends the role of embolisation-assisted spleen-preserving surgery to a fully laparoscopic platform, integrating interventional radiology and minimally invasive surgery to achieve definitive, blood-sparing treatment while maintaining splenic function. References: 1. Tormane MA et al. Robotic partial splenectomy: a new standardized approach. Surg Today. 2025;55(10):1190-1196. 2. Mignon F et al. Embolisation préopératoire sélective permettant une splénectomie partielle pour hamartome splénique. Ann Chir. 2003;128(2):112-116.
Speakers
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Dr Tze Hee Tay - , Dr Doruk Seyfi - , Dr Muddassir Rashid - , Dr Ramesh Damodaran Prabha -

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