Laparoscopic dome resection for pediatric nonparasitic huge splenic cyst safely performed using indocyanine green fluorescence and percutaneous needle grasper
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- Ryuta Masuya
- Division of the Gastrointestinal, Endocrine and Pediatric Surgery, Department of Surgery, Faculty of Medicine University of Miyazaki Miyazaki Japan
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- Kazuhiko Nakame
- Division of the Gastrointestinal, Endocrine and Pediatric Surgery, Department of Surgery, Faculty of Medicine University of Miyazaki Miyazaki Japan
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- Kosei Tahira
- Department of Surgery, Faculty of Medicine University of Miyazaki Miyazaki Japan
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- Kengo Kai
- Division of Hepato‐Biliary‐Pancreatic Surgery, Department of Surgery, Faculty of Medicine University of Miyazaki Miyazaki Japan
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- Takeomi Hamada
- Division of Hepato‐Biliary‐Pancreatic Surgery, Department of Surgery, Faculty of Medicine University of Miyazaki Miyazaki Japan
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- Koichi Yano
- Division of Hepato‐Biliary‐Pancreatic Surgery, Department of Surgery, Faculty of Medicine University of Miyazaki Miyazaki Japan
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- Naoya Imamura
- Division of Hepato‐Biliary‐Pancreatic Surgery, Department of Surgery, Faculty of Medicine University of Miyazaki Miyazaki Japan
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- Masahide Hiyoshi
- Division of Hepato‐Biliary‐Pancreatic Surgery, Department of Surgery, Faculty of Medicine University of Miyazaki Miyazaki Japan
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- Atsushi Nanashima
- Division of Hepato‐Biliary‐Pancreatic Surgery, Department of Surgery, Faculty of Medicine University of Miyazaki Miyazaki Japan
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- Satoshi Ieiri
- Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima City Japan
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説明
<jats:title>Abstract</jats:title><jats:sec><jats:title>Introduction</jats:title><jats:p>In recent years, dome resection, which preserves the splenic immunological function, has been the primary technique used to treat splenic cysts. We herein report a surgical technique using a needle grasper and indocyanine green (ICG) fluorescence to perform dome resection of a huge nonparasitic splenic cyst in a pediatric patient.</jats:p></jats:sec><jats:sec><jats:title>Patient and Surgical Technique</jats:title><jats:p>A 13‐year‐old girl was incidentally diagnosed with a splenic cyst during follow‐up for scoliosis. Abdominal enhanced computed tomography (CT) showed a 17 × 14 × 14 cm unifocal cyst. Laparoscopic dome resection was planned. The intraoperative findings showed that the spleen was distended, but there was no apparent prominence of the thin cyst wall on the surface of the spleen. An ICG fluorescence camera overlay revealed poor coloration in the thinning area. We punctured the area and aspirated the cyst contents. We grasped the cyst wall with a percutaneous needle grasper and dissected the cyst wall with a vessel sealing system. We placed anti‐adhesion agent at the dissection line to prevent recurrence.</jats:p></jats:sec><jats:sec><jats:title>Discussion</jats:title><jats:p>ICG fluorescence was useful for identifying the thinning area of a splenic cyst. The use of a percutaneous needle grasper facilitated the performance of dome resection of a huge splenic cyst in a pediatric patient with minimal invasiveness and an improved cosmetic outcome.</jats:p></jats:sec>
収録刊行物
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- Asian Journal of Endoscopic Surgery
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Asian Journal of Endoscopic Surgery 15 (3), 693-696, 2022-03-14
Wiley
