Spleen hydatidosis treated by hemi-splenectomy: A low-morbidity, cost-effective management by a recently improved surgical technique

Costi, Roberta; Ruiz, Carolina Castro; Bian, Alban Zarzavadjian Le; Scerrati, Daniele; Santi, Caterina; Violi, Vincenzo

doi:10.1016/j.ijsu.2015.06.018

Cited by 12 publications

(8 citation statements)

References 24 publications

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“…Out of the 252 articles initially identified, 20 articles 8 14 15 18 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 ( Tables 2 , 3 ) met the inclusion criteria and were selected for the systematic review. The flowchart representing the identification of the studies and inclusion/exclusion process is shown in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…The selected studies were published between 2003 and 2017 and consisted of 4 original articles 14 15 27 29 and 16 case series 8 18 28 30 31 32 33 34 35 36 37 38 39 40 41 42 ( Table 2 ). They were carried out in fourteen different countries, particularly in Asia and Pacific regions (n=10), 15 27 28 29 31 33 34 35 37 41 Europe (n=7) 18 30 32 36 38 39 42 and North and South America (n=3). 8 14 40 …”

Section: Resultsmentioning

confidence: 99%

“…The studies were case series or original articles with different methods and aims. Based on the GRADE system, 43 4 studies 14 15 27 29 (20%) were judged as being of low quality and the remaining 16 studies 8 18 28 30 31 32 33 34 35 36 37 38 39 40 41 42 (80%) of very low quality of evidence. Of note, all the studies were retrospective, which, by definition, are susceptible to major selection bias, as well as misclassification, detection, or information bias due to the indefinite accuracy in record keeping.…”

Section: Resultsmentioning

confidence: 99%

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Partial splenectomy: A case series and systematic review of the literature

Esposito

Noviello

Moles

et al. 2018

Ann Hepatobiliary Pancreat Surg

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Backgrounds/AimsPartial splenectomy (PS) is a surgical option for splenic mass, in order to reduce postoperative complications and preserve the splenic function. Despite this, data in literature is still scarce. The present study aimed to reveal our recent experience and provide a comprehensive overview of the feasibility and complications related to various surgical approaches.MethodsData of patients who underwent PS, between 2014 and 2017 were retrospectively reviewed. Literature was searched for studies reporting all types of PS in adult or adolescent patients.ResultsFive PS were performed in our department: two (40%) by laparoscopy and three (60%) by laparotomy. Two (40%) postoperative complications were detected, and in one of them, total splenectomy (TS) by laparotomy was finally required. There were no deaths or complications at last follow-up. Twenty studies including 213 patients were identified in the literature search. The rate of conversion from laparoscopic to open surgery was 3% (range, 5–50%) and in 3% of cases (range, 7–10%) PS was converted into total TS and the overall morbidity rate was 8% (range, 5–25%). In comparison to laparotomy, the conversion rate of laparoscopic approach to TS was 3.5% (vs. 1.4%) and a morbidity rate of 9.8% (vs. 4.3%).ConclusionsThe present review shows that PS is a viable procedure in selected cases. The mini-invasive approach seemed to be feasible despite the presence of higher rate of complications than the open technique. In future, further studies on this topic are needed by involving more patients. Furthermore, it is proposed that the development of robotic surgery could make this approach the new gold-standard technique for spleen-preserving surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Partial splenectomy: A case series and systematic review of the literature

Esposito

Noviello

Moles

et al. 2018

Ann Hepatobiliary Pancreat Surg

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“…[17,27,28] Splenektomi immunizasyonu zayıflatma potansiyeline sahiptir ve bu hastalarda sepsis önemli bir sorundur. [29] Splenektomiyi takiben post-splenektomi sepsisten korunmak için pnömokok aşısı uygulanması önerilir. [30] Bu nedenle postsplenektomi enfeksiyonlarından korunmak amacıyla özellikle çocuklarda dalak koruyucu ameliyatlar tercih edilmesi önerilmektedir.…”

Section: Discussionunclassified

Dalak yerleşimli kist hidatik tedavisinde minimal invaziv perkütan tedavi tekniklerinin etkinliği

Turgut

Öncü

2020

Journal of Contemporary Medicine

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The aim of this study was to evaluate the longterm results of percutaneous treatment methods in the treatment of splenic hydatid cyst. Methods: Between June 2015 and January 2020, records of patients who underwent percutaneous treatment were retrospectively reviewed. Before the treatment, ultrasonography reports were reviewed and cyst type, cyst size and localization were listed. Percutaneous treatment type, complications, duration of hospitalization were listed. Follow-up ultrasonography reports were evaluated and the follow-up period, the size of the cyst at the last follow-up, were recorded. Results: Data of nine patients with CE1, CE3a and CE3b splenic hydatid cyst treated with PAIR and standard catheterization were included in the study. No periprocedural complication was observed. The mean duration of hospitalization was 1.67±1.73 days. The mean pretreatment cyst size was 8.11±3.55 cm. The final followup cyst size was 6.46±3.57 cm and there was a significant decrease in size compared to the initial size (p=0.050). The mean follow-up period was 9.56±11.08 months. Recurrence occurred in two patients during the followup period. Only one patient required surgical treatment due to the second relapse. Conclusion: Percutaneous treatment methods are an effective and safe method in the treatment of splenic hydatid cyst.

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“…Some authors advocate complete splenectomy, reducing the possibility of recurrent disease and reducing postoperative bleeding, but most authors recommend a laparoscopic approach, especially for superficial, easily accessible cysts [14,15]. The justification for this attitude stems from the fact that the laparoscopic approach, compared to open surgery, is a minimally invasive procedure providing quick recovery while being safe and effective [16][17][18]. A statistically significant difference, in terms of postoperative complications and recurrence of the disease, has been evidenced by comparing the results of total splenectomy and organ-sparing surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Initially Unrecognized Splenic Hydatid Cysts: A Case Report and Review of the Literature

Milosavljević¹,

Veselinovic²,

Tadić³

et al. 2019

Medicina

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We present a case report that demonstrates diagnostic and intraoperative challenges in the laparoscopic management of initially unrecognized splenic hydatid disease. A male patient, aged 44, was admitted to our department with a big unilocular splenic cyst, radiologically (ultrasonography, computed tomography) characterized as a simple cyst. Serological tests for anti-Echonococcus antibody were negative, and chests X-ray findings were unremarkable, so laparoscopic cyst fenestration with omentoplasty was planned. The intraoperative finding did not correspond to a simple splenic cyst. Hydatid daughter cysts were recognized after the careful opening of the cyst wall. The operation was completed without shifting to open procedures. Laparoscopic partial pericystectomy with omentoplasty is a safe and effective surgical procedure for the management of splenic hydatid disease.

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Spleen hydatidosis treated by hemi-splenectomy: A low-morbidity, cost-effective management by a recently improved surgical technique

Cited by 12 publications

References 24 publications

Partial splenectomy: A case series and systematic review of the literature

Partial splenectomy: A case series and systematic review of the literature

Dalak yerleşimli kist hidatik tedavisinde minimal invaziv perkütan tedavi tekniklerinin etkinliği

Laparoscopic Management of Initially Unrecognized Splenic Hydatid Cysts: A Case Report and Review of the Literature

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