Laparoscopic Dome Resection for Splenic Cyst in Pediatric Patient : A Summary of a Reported Example of Laparoscopic Dome Resection in Japan

Abstract

The patient is a 13-year-old girl. She complained of a bulge in the left upper quadrant of the abdomen and abdominal pain. She was diagnosed with an intraperitoneal cystic tumor 5 cm in size by abdominal ultrasonography and admitted to our hospital. Abdominal ultrasonography and computed tomography showed a monocular cystic tumor 7 cm in size at the bottom of the spleen. It was diagnosed as a splenic cyst. Laparoscopic dome resection was performed because of the complaint of left abdominal pain and the risk of rupture. We dissected the adhesion between the splenic cyst and the omentum as well as the abdominal wall. A SAND balloon^[○!R] was used for suction of 180 ml of dark red cystic fluid. Thus, we excised the cyst wall with an ultrasonic coagulating device. It was diagnosed as an epithelial cyst by postoperative pathological examination. There has been no relapse for two years after the operation.