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  • Title: Laparoscopic fenestration and modified marsupialization of posttraumatic splenic cysts using a harmonic scalpel.
    Author: Jamshidi M, Chang E, Smaroff G, Mehta J, Ghani A.
    Journal: Surg Endosc; 2001 Jul; 15(7):758. PubMed ID: 11591989.
    Abstract:
    In recent years, the advanced laparoscopic experience has revolutionized surgery and fostered the expansion of the indications for minimally invasive surgery in the diagnosis and treatment of all intra-abdominal pathology. Total splenectomy, which traditionally was the procedure of choice in the treatment of symptomatic nonparasitic splenic cysts, recently has been changed to a more conservative approach by many authors [1, 5, 9]. The conservative methods preserve immunologic function of the spleen and prevent the potentially fatal postsplenectomy sepsis complications [9]. We successfully performed laparoscopic fenestration and modified marsupialization of these cysts using a harmonic scalpel on two patients with symptomatic splenic psuedocysts.
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