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(A) CT angiogram showing the splenic artery (red arrow) and (B,C) the splenic lower pole cyst (red dashed arrow).
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An abdominal CT confirmed the presence of a solitary splenic cyst at the lower pole of the spleen of 5 cm in diameter without calcifications (Fig. 1).
(A) Laparoscopic view of the splenic lower pole cyst (x), (B, C) and the lower pole splenic artery (white arrow).
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A three port laparoscopic partial splenectomy was done by using one umbilical 12 mm port, and two more 5 mm ports; a 5 mm 30  scope was used; after division of the lower pole short gastric vessels, the lower pole splenic artery was identified and divided with and endo GIA   white load stapler 60 mm which was introduced through the 12 mm umbilical port (Fig. 2).
(A) Upper and lower pole ischemic demarcation line (white dashed line) after division of the lower pole splenic artery, (B) laparoscopic medial view of the splenic cyst, (C, D, E) division of the lower pole of the spleen with a vessel sealing device and monopolar cautery.
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The partial splenectomy was completed using vessel-sealing device through the ischemic demarcation line previously observed, and the splenic bed bleeding was controlled using monopolar cautery and Surgicel SNoW   (Fig. 3).