通过部分脾切除术治疗脾水囊肿:病例系列和文献综述。

IF 0.8 Q4 SURGERY
Chirurgia Pub Date : 2024-08-01 DOI:10.21614/chirurgia.3010
Beatrice M Tivadar, Corina E Minciună, Cătălin Vasilescu
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引用次数: 0

摘要

目的:水肿性囊肿(HC)很少主要发生在脾脏。脾脏部分切除术(PS)是一种保留脾脏实质的成熟手术,但很少用于治疗水样囊肿。我们旨在介绍 PS 治疗 HC 的经验,并回顾 PS 治疗脾脏 HC 的文献。材料和方法:我们回顾性地查阅了 2000 年至 2023 年间布加勒斯特 Fundeni 临床研究所普外科对 HC 进行 PS 治疗的数据库。我们在 PubMed、Medline 和 Google Scholar 数据库中搜索了 "脾部分切除术"、"脾包虫囊肿 "等关键词,检索了 2000 年至 2023 年 12 月期间发表的英文文献,并进行了文献综述。我们剔除了非英文发表的研究,以及未提供有关 PS 治疗脾水样囊肿的准确或具体数据的研究。结果:共有 10 篇 PS 治疗脾脏积液的文献。6名女性和4名男性,年龄在16-41岁(31+-8.43)之间,9名脾上极(UP)HC患者接受了保留脾下极(LP)的PS治疗,1名脾下极(LP)HC患者接受了LP PS治疗。其中4例采用开腹PS,2例采用腹腔镜PS,4例采用机器人PS。随访(2 年)期间无并发症或复发。文献综述包括14篇全文文章,介绍了42例PS治疗HC的情况:结论:HC PS 手术是可行的,可以完全切除囊肿,同时保留脾脏功能。该手术可通过腹腔镜或机器人进行,具有微创手术的优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Splenic Hydatid Cysts Treated by Partial Splenectomy: Case Series and Literature Review.

Purpose: Hydatic cysts (HC) rarely occur primarily in the spleen. Partial splenectomy (PS) is an established procedure for preserving spleen parenchyma, but rarely used in the treatment of HC. We aim to present our experience with PS for HC and to review the literature of splenic HC treated by PS. Material and Methods: The databases of PS performed between 2000 and 2023 in the Department of General Surgery of Fundeni Clinical Institute (Bucharest) for HC have been reviewed retrospectively. Searching the PubMed, Medline, and Google Scholar databases for keywords such as "partial splenectomy", "splenic hydatid cyst" etc, we retrieved publications from 2000 to December 2023 in English for a literature review. We excluded studies which were not published in English and studies which did not provide accurate or specific data regarding the treatment of splenic HC by PS. Results: There were 10 PS for HC. Six females and 4 males, ages between 16 and 41 (31Ã+-8.43), 9 with HC in the upper splenic pole (UP) treated by PS with lower pole (LP) preservation and one inferior pole HC treated by LP PS. There were 4 open, 2 laparoscopic and 4 robotic PS. There were no complications or recurrences at follow up (2 years). The literature review consists of 14 full-text articles, presenting 42 PS for HC.

Conclusion: PS for HC is feasible, achieves complete removal of the cyst, while preserving splenic function. The procedure can be performed laparoscopically or robotically with the advantages of minimally invasive surgery.

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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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