World Journal of Laparoscopic Surgery

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VOLUME 12 , ISSUE 3 ( September-December, 2019 ) > List of Articles

CASE REPORT

Single-port Splenectomy after Splenic Cyst Aspiration for Huge Splenic Cyst with High CA 19-9 Levels: The State of the Art

Borja Camacho Fernández-Pacheco, Eudaldo López-Tomassetti Fernández, David Fernández-San Millán, Juan Ramón Hernández Hernández

Keywords : CA 19-9, Laparoscopy, Mesothelial cyst, Single-port, Splenic cyst

Citation Information : Camacho Fernández-Pacheco B, Fernández EL, Millán DF, Hernández JR. Single-port Splenectomy after Splenic Cyst Aspiration for Huge Splenic Cyst with High CA 19-9 Levels: The State of the Art. World J Lap Surg 2019; 12 (3):130-132.

DOI: 10.5005/jp-journals-10033-1379

License: CC BY-NC 4.0

Published Online: 12-01-2020

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: Description of a patient with an elevation of CA 19-9 levels caused by a giant benign splenic cyst, which was completely laparoscopically resected through a single port, despite the large size of the lesion. An increase in CA 19-9 in this type of cystic tumors does not indicate malignancy. Background: The cystic tumors of the spleen are rare diseases that may present a CA 19-9 increase, without indicating malignancy. There is a tendency to perform surgical intervention as less invasive and aggressive as possible. The current trend in the management of splenic cysts with a CA 19-9 increase and benign radiological characteristics, is a minimally invasive surgery, whenever possible. Case description: We present a case of a young patient with a giant splenic cyst of 20.5 × 14.5 × 23 cm and elevated CA 19-9 levels. Spleen was completely laparoscopically resected through a single port after the cyst puncture and aspiration, using the advantages of laparoscopic surgery and single port. Had a favorably postoperative course with resolution of the symptoms up to the current date. Conclusion: There is an actual tendency to perform minimally invasive surgical interventions. In pathologies such as the clinical case provided, we should try to make a surgical intervention as less invasive as possible, despite the large size of the lesion. In our case, we successfully performed the resection of a giant splenic cyst, using the advantages of laparoscopic surgery and the single port, which helped us in the extraction of the piece. Clinical significance: When facing this pathology, we must bear in mind that benign epithelial and mesothelial cysts can produce an increase of CA 19-9 blood levels, without indicating malignancy. So, we should try to make a surgical intervention as less invasive as possible.


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