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- W3199751142 abstract "Presenter: Elizabeth Klein DO | The Jewish Hospital Background: Abdominal pain in bariatric patients after sleeve gastrectomy and significant weight loss is concerning for multiple differential diagnoses from food intolerance, concern for hiatal hernia, to biliary disease. We present a unique case of a 32-year-old female presenting with left upper quadrant abdominal pain, that began after losing 100 pounds weight loss after laparoscopic sleeve gastrectomy. She has a history of asymptomatic incidentally found splenic cyst on CT scan at the age of 26. Methods: Extensive workup with repeat CT scan of the abdomen and pelvis, right upper quadrant ultrasound, and esophagogastroduodenoscopy revealed chronic cholecystitis and a stable splenic cyst. Decision was made to proceed with robotic cholecystectomy and possible splenic cyst excision if no other clear etiology for LUQ pain was found. Results: Diagnostic laparoscopy showed clear inflammatory changes around the splenic cyst indicating that this cyst was the cause of pain. Intraoperatively, the splenic cyst was characterized via intraoperative ultrasound (Figure 1A) and its margins to the rest of the spleen with indocyanine green (ICG) firefly imaging (Figure 1B). Vessel sealer device was used for cyst excision. Firefly imaging was also used for cholecystectomy. This operation was successfully completed via single-docking robotic surgery. The patient was discharged home within 24 hours after surgery. Her abdominal pain resolved without further complications. Conclusion: Splenic cysts can cause symptoms even though they are asymptomatic most of the time. Splenic preserving surgery is feasible in appropriate patients and robotic approach can be helpful to accomplish it and may help expedite recovery time and minimize post-operative pain." @default.
- W3199751142 created "2021-09-27" @default.
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- W3199751142 date "2021-01-01" @default.
- W3199751142 modified "2023-09-27" @default.
- W3199751142 title "Robotic cholecystectomy and spleen preserving splenic cyst excision for inflamed splenic cyst and chronic cholecystitis" @default.
- W3199751142 doi "https://doi.org/10.1016/j.hpb.2021.06.353" @default.
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