First experience of robotic cystectomy and partial splenectomy in a child with congenital splenic cyst

Volume 4, Issue 2, April 2019     |     PP. 39-51      |     PDF (302 K)    |     Pub. Date: April 9, 2019
DOI:    294 Downloads     6765 Views  

Author(s)

Yuanhong Xiao, Department of Pediatric Surgery, Chinese PLA General Hospital, Beijing, 100853, China
Gang Wang, Department of 2nd Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, 100853, China
Xuan Zhang, Department of 2nd Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, 100853, China
Guodong Zhao, Department of 2nd Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, 100853, China
Qu Liu, Department of 2nd Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, 100853, China
Zhipeng Zhou, Department of 2nd Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, 100853, China
Minggen Hu, Department of 2nd Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, 100853, China

Abstract
Background Congenital splenic cyst of children is an uncommon lesion. Robotic manipulations for congenital splenic cyst of children have not been reported.
Methods A nine-year-old girl with cystic neoplasm originating from the middle-lower pole of spleen was performed robotic cystectomy and partial splenectomy. 5 ports of robotic instrument assignment were applied. After cystic fluid aspiration, the collapsed cyst was excised using Harmonic scalpel accompanied with margin portion of splenic parenchyma adjacent to the cyst. The inner surface of cyst overlying the splenic parenchyma was obliterated by argon beam coagulation. The wound was covered with hemostatic agent and packed by greater omentum. The sample was placed in the retrieval bag and delivered out through the assisting port.
Results The total procedure time was 80 minutes, and the capnoperitonium time was 60 minutes. The blood loss was 15 ml with no blood transfusion. No abdominal drainage tube was used. The child recovered without complications. She was discharged 10 days after operation. Pathological diagnosis was splenic cyst.
Conclusion This case supports that robotic cystectomy and partial splenectomy may be safe and feasible in pediatric congenital slplenic cyst patients.

Keywords
Child, Cysts, Minimally invasive surgical procedures，Spleen, Splenic-neoplasms.

Cite this paper
Yuanhong Xiao, Gang Wang, Xuan Zhang, Guodong Zhao, Qu Liu, Zhipeng Zhou, Minggen Hu, First experience of robotic cystectomy and partial splenectomy in a child with congenital splenic cyst , SCIREA Journal of Clinical Medicine. Volume 4, Issue 2, April 2019 | PP. 39-51.

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