Hand-assisted laparoscopic hepatectomy after partial splenic embolization T. Shimizu, 1 T. Tajiri, 1 K. Akimaru, 1 H. Yoshida, 1 S. Yokomuro, 1 Y. Mamada, 1 N. Taniai, 1 Y. Kawano, 1 Y. Mizuguchi, 1 T. Takahashi, 1 Y. Arima, 1 T. Aramaki, 2 T. Kumazaki 3 1 FirstDepartmentofSurgery,NipponMedicalSchool,1-1-5Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan 2 First Department of Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan 3 Department of Radiology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan Received: 9 February 2003/Accepted: 7 March 2003/ Online publication: 21 July 2003 DOI: 10.1007/s00464-003-4210-4 Abstract Thecaseofapatientwithhepatocellularcarcinomaand thrombocytopenia secondary to liver cirrhosis who un- derwent successful hand-assisted laparoscopic hepatec- tomy after partial splenic embolization is described. A 67-year-oldmanwithseverelivercirrhosiswasadmitted for treatment of hepatocellular carcinoma. His early phaseofhepaticangiographyshowedtwohypervascular tumors in segment 6. The patient’s liver function was poor,withtheindocyaninegreenretentionat15minof 49.5%, a total serum bilirubin concentration of 2.0 mg/ dl, an albumin concentration of 2.8 g/dl, and an hy- aluronic acid concentration of 649 ng/ml. The platelet count was 3.0 · 10 4 /ll secondary to hypersplenism. Partialsplenicembolizationdecreasedthesplenicvolume by 50% preoperatively. At 2 months later, the platelet count was 6.0 · 10 4 /ll, and hand-assisted laparoscopic partial hepatectomy was performed uneventfully. The patient’s postoperative course was unremarkable, and he was discharged on postoperative day 12. Key words: Hand-assisted laparoscopic hepatectomy — Partial splenic embolization — Liver cirrhosis — Hepatocellular carcinoma Correspondence to: T. Shimizu Laparoscopic cholecystectomy for gallbladder lymphangiomas H.-R. Yang, 1 Y.-Y. Jan, 1 S.-F. Huang, 2 T.-S. Yeh, 1 J.-H. Tseng, 3 M.-F. Chen 1 1 Department of General Surgery, Chang Gung Memorial Hospital, Chang Gung University, 5 Fu-Shin Street, Kweishan, Taoyuan 333, Taiwan 2 Department of Pathology, Chang Gung Memorial Hospital, Chang Gung University, 5 Fu-Shin Street, Kweishan, Taoyuan 333, Taiwan 3 Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Chang Gung University, 5 Fu-Shin Street, Kweishan, Taoyuan 333, Taiwan Received: 5 December 2002/Accepted: 12 December 2002/ Online publication: 15 August 2003 DOI: 10.1007/s00464-002-4290-6 Abstract Intraabdominal lymphangiomas are rare benign tumors that can be difficult to diagnose preoperatively. The clinical presentation of these tumors is variable and potentially misleading. Therefore, complex imaging studies are required to evaluate this condition. Ultra- sound and CT scan are important to make the correct preoperative diagnosis and also provide important in- formation regarding location, size, and adjacent organ involvement. The treatment of choice is complete exci- sion. This report describes two patients with cystic lymphangiomas originating in the gallbladder. The correct diagnosis was made preoperatively in one patient, and both patients were treated successfully by laparoscopy. Key words: Laparoscopy — Gallbladder — Cystic lymphangioma Correspondence to: M.-F. Chen Laparoscopy in the diagnosis and management of a complicated paraovarian cyst M. Macarthur, A. A. Mahomed Department of Pediatric Surgery, Royal Aberdeen Children’s Hospital, Cornhill Road, Aberdeen, AB25 2ZG, Scotland, UK Received: 11 February 2003/Accepted: 21 March 2003/ Online publication: 15 August 2003 DOI: 10.1007/s00464-003-4211-3 Abstract Paraovarian cysts account for 10% of adnexal masses andaremostcommoninthe3rdand4thdecadesoflife. They vary from small asymptomatic lesions to larger cysts, which may undergo hemorrhage or torsion. Children are rarely affected, and the diagnosis—partic- ularlyifpainpresentsintherightlowerquadrant—may be difficult because the differentials diagnosis is wide. We report the case of a child who presented with a Case reports: Online First Surg Endosc (2003) 17: 1676–1679 Ó Springer-Verlag York Inc. 2003 The full text versions of the abstracts presented here have been published online and are available for viewing atwww.springerlink.comAsasubscriberto Surgical Endoscopy,youhaveaccesstoourSpringerLinkelectronic service, including Online First.