Selecting a surgical modality to treat a splenic hydatid cyst: total splenectomy or spleen-saving surgery?

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Zulfu ArikanogluCelalettin Keles

Abstract

We analyzed the outcomes and effectiveness of surgical treatments and clinical manifestations of splenic hydatid cysts. Between 2000 and 2011, we retrospectively reviewed the cases of 11 patients who were operated on for a splenic hydatid cyst. The demographic features, medical history, physical examinations, biochemical and serological tests, imaging modalities, and surgical treatment of the patients were noted. The mean patient age was 36.45 years (range, 20-66 years). While isolated splenic hydatid disease was present in five patients, other abdominal hydatid cysts were accompanied by a splenic hydatid cyst in six patients. Left upper abdominal pain was present in seven (64%) patients, whereas four (36%) patients were asymptomatic. Eight patients (72.72%) had undergone a total splenectomy and three (27.28%) had undergone spleen-preserving surgery. Postoperative complications developed in four (36%) patients at 5-15 days postoperatively. Management of a splenic hydatid cyst is not consensual. Total splenectomy is optimal because it provides definitive treatment. However, spleen-preserving surgery is the preferred treatment in selected patients. The choice of technique depends on the localization, number, and size of hydatid c...Continue Reading

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Citations

Aug 21, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Sami AkbulutCengiz Eris
Nov 12, 2015·The American Journal of Tropical Medicine and Hygiene·Maira A ArceSaul J Santivañez
Dec 18, 2015·Cardiovascular and Interventional Radiology·Okan AkhanDevrim Akıncı
Dec 4, 2019·Clinical Case Reports·Suman AcharyaNischal Khanal
Jan 6, 2016·The Indian Journal of Surgery·Bunyami OzogulA Mecit Kantarcı
Aug 14, 2019·The American Journal of Tropical Medicine and Hygiene·Zhu ZhuoliLi Shengwei
Jan 26, 2021·Clinical Case Reports·Shahriar HashemzadehHassan Amini
Jun 3, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Giovanni Dapri, Sophie Arts

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