Pearl Ma, MD1, Subhash Reddy, MD1, Daniel Swartz, MD2, Keith Boone, MD1, Eric DeMaria, MD2, Kelvin Higa, MD1. 1University of California-San Francisco Fresno MEP, 2Advanced Laparoscopic Surgical Associates, Fresno CA
Laparoscopic partial splenectomy for giant cysts have been described in literature mostly as case reports and small case series. We present a case of giant splenic cyst found incidentally during laparoscopic gastric bypass. As majority of the gastric bypass was completed prior to finding the splenic cyst, completion of gastric bypass was performed and completed post-operative workup of the cyst with imaging. As the cyst continued to grow in size, it was removed laparoscopically 6 months after gastric bypass as patient had a 60% excess weight loss which improved operative exposure. This is the first case that is reported in the literature of incidental finding during gastric bypass. Surgical excision was performed with parenchyma sparing excision with monopolar cautery and ultrasonic dissector. We present our video as an interesting case of surgical management of giant splenic cyst.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79238
Program Number: V170
Presentation Session: Minimally Invasive Surgery – World Tour
Presentation Type: Video