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Schematic view of the reconstruction. Large arrow is pointing out the epiplon surrounding the tracheostoma and the esophagus. Thin arrow is on the skin graft covering the posterior side of the trachea. Head of arrow shows de microvascular anastomosis and finally de asterisk is into the stomach patch that makes up the anterior esophagus. B. Gastro-omental flap with its omentum portion below and the shaping of the stomach patch. C. At the tracheostoma level, the posterior wall of the trachea is formed by a skin graft. The omentum which will be placed around the tracheostoma and behind the skin graft will nourish it. D. The cervical trachea was moved and the new tracheal stoma was placed just 2<span class="elsevierStyleHsp" style=""></span>cm below it was before. Surrounding it the omentum covered by skin grafts. E. Vascular anastomosis under microscope between the right gastroepiploic vessels and the mammary internal ones at the third intercostal space. The white spot is on the arterial anastomosis and the black spot on the venous anastomosis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Maria Viñals Viñals, Pau Tarrús Bozal, Jose Maria Serra-Mestre, Oriol Bermejo Segú, Julio Nogués Orpí" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Juan Maria" "apellidos" => "Viñals Viñals" ] 1 => array:2 [ "nombre" => "Pau" "apellidos" => "Tarrús Bozal" ] 2 => array:2 [ "nombre" => "Jose Maria" "apellidos" => "Serra-Mestre" ] 3 => array:2 [ "nombre" => "Oriol" "apellidos" => "Bermejo Segú" ] 4 => array:2 [ "nombre" => "Julio" "apellidos" => "Nogués Orpí" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0009739X17300532" "doi" => "10.1016/j.ciresp.2017.01.009" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X17300532?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507717300595?idApp=UINPBA00004N" "url" => "/21735077/0000009500000010/v1_201712160515/S2173507717300595/v1_201712160515/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173507717302065" "issn" => "21735077" "doi" => "10.1016/j.cireng.2017.11.007" "estado" => "S300" "fechaPublicacion" => "2017-12-01" "aid" => "1703" "copyright" => "AEC" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Cir Esp. 2017;95:612" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 393 "formatos" => array:2 [ "HTML" => 284 "PDF" => 109 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the Month</span>" "titulo" => "Calcified Adrenal Pseudocyst: A Rare Pathology" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "612" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pseudoquiste suprarrenal calcificado: una dolencia infrecuente" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 629 "Ancho" => 709 "Tamanyo" => 75298 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Álvaro Martínez Manzano, Elena Romera Barba, Francisco Javier Espinosa López, Ángel de Paco Navarro" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Álvaro" "apellidos" => "Martínez Manzano" ] 1 => array:2 [ "nombre" => "Elena" "apellidos" => "Romera Barba" ] 2 => array:2 [ "nombre" => "Francisco Javier" "apellidos" => "Espinosa López" ] 3 => array:2 [ "nombre" => "Ángel" "apellidos" => "de Paco Navarro" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0009739X16302123" "doi" => "10.1016/j.ciresp.2016.11.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X16302123?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507717302065?idApp=UINPBA00004N" "url" => "/21735077/0000009500000010/v1_201712160515/S2173507717302065/v1_201712160515/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>" "titulo" => "Laparoscopic Partial Splenectomy for a Splenic Epidermoid Cyst" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "613" "paginaFinal" => "615" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "José M. Ramia, Roberto de la Plaza Llamas, Aylhin Joana López-Marcano, José del Carmen Valenzuela Torres, José Manuel García Gil" "autores" => array:5 [ 0 => array:4 [ "nombre" => "José M." "apellidos" => "Ramia" "email" => array:1 [ 0 => "jose_ramia@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Roberto de la Plaza" "apellidos" => "Llamas" ] 2 => array:2 [ "nombre" => "Aylhin Joana" "apellidos" => "López-Marcano" ] 3 => array:2 [ "nombre" => "José del Carmen Valenzuela" "apellidos" => "Torres" ] 4 => array:2 [ "nombre" => "José Manuel García" "apellidos" => "Gil" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Guadalajara, Guadalajara, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Esplenectomía parcial laparoscópica por quiste epidermoide esplénico" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 994 "Ancho" => 1417 "Tamanyo" => 177104 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Inferior splenic pedicle; (B) marking of the parenchyma; (C) dissection of the parenchyma; and (D) surgical specimen.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Laparoscopic splenectomy is the method of choice for the treatment of multiple splenic diseases, with the well-known benefits of minimally invasive treatment.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1–3</span></a> Laparoscopic partial splenectomy avoids the consequences of asplenia, although its use is uncommon.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">2,3</span></a> We present a patient with a splenic epidermoid cyst treated by laparoscopic partial splenectomy (LPS), and we will discuss its indications and technical aspects.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient is a 16-year-old female with a history of pneumonia due to <span class="elsevierStyleItalic">Mycoplasma pneumoniae</span> and infectious mononucleosis. The patient reported a self-palpated tumor in the left flank. On examination, a non-painful, mobile mass was palpable in the left hypochondrium and flank. Lab work showed no significant alterations: CA19-9 5.0<span class="elsevierStyleHsp" style=""></span>IU/mL (normal range: 0–37). An abdominal CT was performed, which detected an 8-cm cystic lesion with calcified walls in the inferior pole of the spleen and splenomegaly (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B). Hydatid serology was requested, which was negative. The surgical technique consisted of: supine position with abduction of lower limbs, induction of pneumoperitoneum with a Veress needle, placement of 4 trocars (2 infraumbilical and left flank [11<span class="elsevierStyleHsp" style=""></span>mm] and 2 more in the right flank and subxiphoid [5<span class="elsevierStyleHsp" style=""></span>mm]), clamping of the blood supply vessels of the lower pole, dissection of the parenchyma with monopolar coagulation and bipolar vessel sealing system, non-anatomical resection without release of the superior pole of the spleen, and removal of the specimen using a Pfannenstiel incision (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A–D). Drains were not used. No hemostatic agents were used; blood loss was 130<span class="elsevierStyleHsp" style=""></span>cc. The postoperative period transpired without incident, and the patient was discharged after 24<span class="elsevierStyleHsp" style=""></span>h. The histological study identified the specimen as a splenic epidermoid cyst. Eight months later, the patient is asymptomatic and has had no recurrence. Informed consent was provided for the publication of images and hospital protocol.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Cystic lesions of the spleen are either parasitic (usually caused by <span class="elsevierStyleItalic">Echinococcus granulosus</span>) or non-parasitic, which are subdivided into primary and secondary lesions.<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">4,5</span></a> Epidermoid cysts are considered primary congenital lesions. They account for 10% of all non-parasitic cysts and are the most frequent splenic cysts in children and adolescents.<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">4,6</span></a> They present an incidence of 0.07% in the general population and are more frequent in women. Although the etiology is not clear, the most widely accepted theory is the inclusion of peritoneal mesothelial cells in the splenic parenchyma. These cysts are usually asymptomatic but can cause symptoms of compression (pain, digestive symptoms) if large, or they can become complicated (rupture or hemorrhage).<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">4,7</span></a> The cysts are usually unilocular and may have wall calcifications. The differential diagnosis should basically include pseudocyst and splenic echinococcosis. There are several therapeutic options for epidermoid cysts, but surgical resection is the most cost-efficient and is recommended in symptomatic patients, complicated cysts or lesions larger than 5<span class="elsevierStyleHsp" style=""></span>cm. The advantages of a complete resection of the cyst include no recurrence and avoiding complications related with the residual cavity.<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">4–6</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The first laparotomic partial splenectomy was performed by Morgenstern in 1980, and Uranüs performed the first LPS in 1995.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1,2,5,8,9</span></a> Initial indications for partial splenectomy in the literature were: age younger than 60 years, grade II and III splenic trauma and benign disease.<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> Currently, it is also performed in malignant disease.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> Although LPS is known to be feasible and safe, this is a technique that is not frequently performed.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1,6–9</span></a> Most LPS have been performed as elective surgery, although they have also been occasionally used in splenic trauma.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> The most frequent indication is benign cysts,<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1,7</span></a> although LPS has been used in multiple benign and malignant splenic lesions: hemangioma, lymphangioma, hamartoma, angiomyolipoma, epidermoid cyst, hydatid cyst, trauma, spherocytosis, abscesses and infarctions, as well as in malignant primary and secondary tumors.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1,8,10</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The theoretical advantages of LPS are: those inherent to any laparoscopic procedure; preservation of immunological function, requiring a postoperative splenic remnant greater than 25% to avoid post-splenectomy sepsis, which presents a mortality of 2.1%<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">3,5–9</span></a>; and decrease in immediate postoperative morbidity.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">2,7,9</span></a> The disadvantages include: the technical difficulty, especially the transection of the splenic parenchyma; its non-applicability in central cysts with hilar involvement or those that are very large; the risk of recurrence in hematological diseases; and higher theoretical morbidity due to intraoperative complications, especially hemorrhage. To avoid the latter, we believe it is fundamental to clamp the polar arteries of the splenic segment that is going to be resected and to achieve perfect hemostasis of the splenic parenchyma.<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">5,10</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Splenectomy can be anatomical (when the distribution of splenic vascular structures is followed)<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> or non-anatomical/irregular (when we adapt it to the splenic lesion, as in our patient). It is not necessary to mobilize the entire spleen to perform LPS; in fact, this may favor torsion.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1,6,7</span></a> Splenic dissection is usually completed with sealants and/or staples. The use of radiofrequency can cause a wider area of necrotic parenchyma.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">2,6</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">The systematic review of the literature on LPS by Balaphas et al. in 2015 included 33 articles describing 187 LPS (168 laparoscopic, one single-port and 18 robotic).<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Forty-six patients were treated surgically for non-parasitic cysts. Morbidity was 5.4% and the average hospital stay ranged from 1 to 8 days.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> The overall conversion rate to laparotomy was less than 10%.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1,3,5,7</span></a> When LPS is compared with total splenectomy, it is observed that there are no significant differences in operative time, bleeding and blood transfusion, but LPS presents lower morbidity, especially splenic thrombosis, pleural effusion and incisional hernias, and a certain decrease in hospital stay.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1,2</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">In conclusion, LPS is a demanding but valid technique that is feasible in the treatment of splenic lesions, especially those located in the poles of the spleen, that reduces certain postoperative complications and maintains splenic immunological function.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ramia JM, de la Plaza Llamas R, López-Marcano AJ, Valenzuela Torres JC, García Gil JM. Esplenectomía parcial laparoscópica por quiste epidermoide esplénico. Cir Esp. 2017;95:613–615.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 741 "Ancho" => 1382 "Tamanyo" => 106778 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT scans: (A) axial and (B) coronal.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 994 "Ancho" => 1417 "Tamanyo" => 177104 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Inferior splenic pedicle; (B) marking of the parenchyma; (C) dissection of the parenchyma; and (D) surgical specimen.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0055" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Partial splenectomy in the era of minimally invasive surgery: the current laparoscopic and robotic experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. 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Scientific letter
Laparoscopic Partial Splenectomy for a Splenic Epidermoid Cyst
Esplenectomía parcial laparoscópica por quiste epidermoide esplénico
José M. Ramia
, Roberto de la Plaza Llamas, Aylhin Joana López-Marcano, José del Carmen Valenzuela Torres, José Manuel García Gil
Corresponding author
Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Guadalajara, Guadalajara, Spain