Laparoscopic treatment for solid organs has been one of the optimal surgica
l procedures. We experienced laparoscopic treatment for a splenic cyst in t
hree patients. There were one male and two females. Their ages ranged from
19 to 63 years with a mean of 37. Their cysts were located at the upper pol
e of the spleen in two and the lower pole in one. We carried out laparoscop
ic splenectomy in one case and laparoscopic unroofing in two. One of them w
as successfully performed by laparoscopic procedure using needlescopic inst
ruments. The mean operation time and intraoperative bleeding volume were 23
0 min and 70 ml, respectively. There were no intra- and postoperative compl
ications related to laparoscopic procedure. The mean postoperative hospital
stay was 7 days. Laparoscopic treatment for a splenic cyst is a technicall
y feasible and safe method with less postoperative pain, short convalescenc
e and cosmetic benefits. After acquiring own skill, needlecopic procedure f
or solid organs such as a splenic cyst becomes possible.