Robotic splenectomy for large splenic cyst with indocyanine green-assisted vascular identification: a case report

Robotic splenectomy (RS) is an advanced alternative to conventional laparoscopy, offering advantages such as 3D vision and superior articulation, which are crucial in complex cases like splenomegaly. We present the case of a 22-year-old woman with a giant splenic cyst measuring ~13 cm. Robotic-assisted splenectomy was performed using the multi-port Da Vinci Xi system. The robotic approach facilitated the precise dissection of the splenic hilum and the short gastric vessels, allowing the spleen to be extracted intact with minimal bleeding in 2 h. Robotic splenectomy proved to be a safe and effective technique, associated with an efficient operative time and rapid postoperative recovery. This case supports the use of robotic splenectomy in specialized centers for selected, complex cases, demonstrating its technical advantage for large splenic pathology.