Laparoscopic marsupialization and hemisplenectomy for splenic cysts

Background: Splenic cysts are a rare clinical entity in the United States, and historically, management has consisted of either partial or total splenectomy via an open approach. Laparoscopic treatment of splenic cysts with preservation of splenic parenchyma offers several advantages. Compared with the open approach, a laparoscopic approach may result in less postoperative pain and a more rapid return to full activity. Compared with total splenectomy, splenic preservation eliminates the risk of overwhelming postsplenectomy infection. Patients and Methods: We present two patients with splenic cysts. One patient was treated with laparoscopic marsupialization of the cyst and the other with laparoscopic hemisplenectomy. Results: Both patients are without further symptoms at 26 and 5 months' follow-up, respectively. Conclusions: Laparoscopic marsupialization and hemisplenectomy are appropriate treatment options for patients with splenic cysts.