Case Report: Single-port robotic-assisted partial splenectomy for a giant congenital splenic cyst in a child using the SHURUI system - Report - MDSpire

Case Report: Single-port robotic-assisted partial splenectomy for a giant congenital splenic cyst in a child using the SHURUI system

  • By

  • Qingchi Zhang

  • Lingling Sun

  • Zhongxi Zhang

  • Kuiran Dong

  • June 12, 2026

  • 0 min

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Clinical Report: Robotic-Assisted Single-Port Partial Splenectomy in Pediatrics

Overview

This report details a successful case of robotic-assisted single-port partial splenectomy in a 9-year-old boy with a giant congenital splenic cyst. The procedure demonstrated feasibility and effective spleen preservation, with favorable short-term outcomes.

Background

Congenital splenic cysts are rare in children and can lead to significant complications if they become large or symptomatic. Surgical intervention is often necessary, with a preference for spleen-preserving techniques to mitigate the risk of post-splenectomy infections. The advent of robotic surgery may enhance the technical execution of these complex procedures, although experience in pediatric applications remains limited.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • Robotic-assisted single-port partial splenectomy was successfully performed on a 9-year-old boy.
  • The procedure involved decompression of the cyst and selective control of splenic vessels.
  • Estimated blood loss during surgery was approximately 20 mL.
  • The patient was discharged on postoperative day 6 and remained asymptomatic at 3-month follow-up.
  • Pathological examination confirmed the diagnosis of a congenital epithelial splenic cyst.
  • The patient resumed competitive sports without limitations at 6-month follow-up.

Clinical Implications

This case supports the use of robotic-assisted techniques for spleen-preserving surgeries in pediatric patients with large splenic cysts. The favorable outcomes suggest that such approaches may enhance surgical precision and recovery while preserving splenic function.

Conclusion

Single-port robotic-assisted partial splenectomy appears to be a feasible and effective option for managing giant congenital splenic cysts in children. Further studies are needed to establish long-term outcomes and broader applicability.

Related Resources & Content

  1. Robotic Surgery for the Removal of Non-Malignant Splenic Tumors in Pediatric Patients, Springer, 2023 -- https://link.springer.com/article/10.1007/s00423-023-03208-5
  2. Utilization of the Alexis® System for Pediatric Laparoscopic Splenectomy, Springer, 2021 -- https://link.springer.com/article/10.1007/s13304-021-01023-5
  3. Nonparasitic Splenic Cysts in Children: Outcomes after Sclerotherapy or Surgical Resection as Initial Management, ScienceDirect -- https://www.sciencedirect.com/science/article/pii/S1051044323004256?utm_source=openai
  4. Single-Port Robot-Assisted Retroperitoneal Partial Nephrectomy Utilizing a Custom-Built Robotic System with Flexible Surgical Instruments
  5. Surgical Endoscopy — Early Outcomes of a Reduced-Port Robotic Approach to Pancreaticoduodenectomy Utilizing a Single-Site and Two-Port Technique
  6. Nonparasitic Splenic Cysts in Children: Outcomes after Sclerotherapy or Surgical Resection as Initial Management - ScienceDirect
  7. JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
  8. Spleen Salvaging Treatment Approaches in Non-parasitic Splenic Cysts in Childhood - PMC

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