# Laparoscopic Partial Splenectomy for a Giant Congenital Splenic Cyst in a Child: Case Report and Focused Literature Review

## TL;DR

A child with a large spleen cyst had successful laparoscopic surgery that preserved spleen function and relieved symptoms.

## Contribution

This case highlights laparoscopic partial splenectomy as a safe, spleen-preserving treatment for giant congenital splenic cysts in children.

## Key findings

- Laparoscopic upper-pole partial splenectomy provided durable symptom relief and preserved splenic function.
- Selective upper-pole devascularization enabled safe spleen-preserving surgery with low recurrence risk.
- Preoperative vaccination and meticulous hemostasis were critical for successful outcomes.

## Abstract

An 11‐year‐old boy with a 16 × 14.5 cm congenital splenic cyst underwent laparoscopic upper‐pole partial splenectomy after negative hydatid workup and vaccination. Recovery was uneventful; histology confirmed epithelial cyst. Spleen‐preserving surgery provided durable symptom relief and preserved function.

In children with giant congenital splenic cysts, laparoscopic partial splenectomy guided by selective upper‐pole devascularization can relieve symptoms while preserving splenic function. Careful exclusion of hydatid disease, preoperative vaccination, and meticulous hemostasis are key to safe, spleen‐preserving management and low recurrence.