PT  - JOURNAL ARTICLE
AU  - Pieter A. Seshadri
AU  - Eric C. Poulin
AU  - Joseph Mamazza
AU  - Christopher M. Schlachta
TI  - Needlescopic decapsulation of a splenic epithelial cyst
DP  - 2000 Aug 01
TA  - Canadian Journal of Surgery
PG  - 303--305
VI  - 43
IP  - 4
4099  - http://canjsurg.ca/content/43/4/303.short
4100  - http://canjsurg.ca/content/43/4/303.full
SO  - CAN J SURG2000 Aug 01; 43
AB  - As technology advances, the techniques of laparoscopic surgery are being refined and their aplication is expanding to include many disease processes and organs. The new-generation laparoscopic instruments are becoming smaller (less than 5 mm). Expected advantages include improvements in cosmesis and patient satisfaction, and decreased postoperative analgesic requirements. Non-neoplastic cysts of the spleen are rare, and their management has evolved from total open splenectomy to laparoscopic cyst decapsulation. A 22-year-old woman with a symptomatic 10-cm epithelial cyst was treated by splenic decapsulation with needlescopic instruments (3 mm or smaller). Three trocars were used: one 12-mm umbilical and two 3-mm subcostal ports. The cyst was punctured by a Veress needle, and after drainage of straw-coloured fluid, circumferential decapsulation with 5-mm laparoscopic shears through the umbilical port site was done. The patient was discharged within 24 hours, having had a single intramuscular injection of meperidine and an excellent cosmetic result.