Guwahati Doctor performs Rare Robotic Splenic Surgery on a 13-year-old

• Image Credit: Internet

• Jun 17, 2022 | Kabir Chakraborty

Robotic surgery seems to have a numerous advantages over open surgery, including less scars, a faster recovery, less pain, a shorter hospital stay, and fewer post-surgical complications. color:#222222">

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color:#222222">Digital Desk: Dr. Subhash Khanna, a laparoscopic, bariatric and
robotic surgeon successfully removed a splenicn cyst of a 13 year old boy
through Robotic surgery on 16-06-22 managing to preserve the spleen in the
process. Such large splenic cyst is quite rare in children.

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color:#222222">Rihan has been experiencing unexplained abdomen pain and
intermittent vomiting for the past three months. He first went to a renowned
private hospital in Guwahati, where he was given a provisional diagnosis of
splenic lymphangioma/ hydatid cyst (?) in May and treated with medication.
However, because there was no noticeable improvement, his parents went to
Swagat Super Speciality Surgical Institute & NH, Maligaon, Guwahati, where
he was reevaluated and diagnosed with cholelithiasis, splenomegaly, and a
massive splenic hilar cyst (15 x 11 cm) that was clinically palpable.

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color:#222222">All of his blood tests were normal, except for serum bilirubin,
which was slightly higher. His portal venous system Doppler testing was
completely normal. The team of doctors advised the parents and the child since
the spleen is an important immune organ that filters the blood, fights germs in
the circulation, and removes old or damaged red blood cells. "Because the
spleen is such a vascular organ, the odds of bleeding were extremely high,
particularly because the cyst was placed in the hilar region," Dr. Subhash
Khanna explained.

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color:#222222">Robotic surgery seems to have a numerous advantages over open
surgery, including less scars, a faster recovery, less pain, a shorter hospital
stay, and fewer post-surgical complications. Dr. S. Khanna and his team, which included
Dr. S. Choudhury, Dr. Biswajyoti Rabha, and anesthesiologist, Dr. Kanineeka
Das, as well as Robotic scrub nurses Vidya, Alvanisha, and Lipika, successfully
completed deroofing and excision of the large splenic cyst with aspiration of
all his contents, as well as removal of the gallbladder Robotically.

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color:#222222">Splenic surgery has recently grown more conservative, with the
goal of preserving as much of the spleen as possible. Many similar splenic tear
cases have recently been treated with vascular embolization at Swagat SSSI
& NH. However, this is the first time a big splenic cyst has been treated
robotically while the spleen is preserved in a child in the entire North East
region.

color:#222222">This is the first such splenic large cyst excised robotically in
a 13-year-old boy using the new robot "Versius."

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