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RESULTS OF SURGICAL TREATMENT OF NON-PARASITIC SPLENIC CYSTS IN CHILDREN
- Authors: Myzin A.V.1, Kuleshov V.G.1, Stepanov A.E.1, Gerasimova N.V.1, Ashmanov K.Y.1
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Affiliations:
- Russian Children Clinical Hospital
- Issue: Vol 22, No 1 (2018)
- Pages: 32-35
- Section: ORIGINAL ARTICLES
- Submitted: 04.03.2021
- Published: 04.02.2018
- URL: https://jps-nmp.ru/jour/article/view/22
- DOI: https://doi.org/10.18821/1560-9510-2018-22-1-32-35
- ID: 22
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Abstract
Introduction. Currently, there are different views on the treatment of non-parasitic spleen cysts in children. The choice of method of treatment is under discussion. The aim of our study was to evaluate and analyze the immediate and long-term results of surgical interventions performed on nonparasitic spleen cysts in children. Material and methods. There are presented results of surgical treatment of the 21 patient, who was on treatment at the Department of Abdominal Surgery of the Russian Children Clinical Hospital over the period from 2013 to 2016. Patients were examined by means of ultrasound of the abdominal cavity, CT, MRI. All patients have been operated. 22 surgical interventions were performed by using laparoscopic access, out of which 2 partial resections of the spleen, 1 splenectomy, 19 fenestrations of spleen cysts.Results. During the course of the operation and in the immediate postoperative period there were no complications. Patients were observed for the period of from 1 year to 3 years. Good results of treatment were obtained in 20 (95.2%) children. In a long-term period a relapse occurred in the one patient one year after the operation. The patient was reoperated, splenectomy was performed. Conclusion. The surgical treatment of spleen cysts is the basic one. It is indicated for cysts sized larger than 5 cm and cysts with clinical symptoms. Minimally invasive interventions in children are optimal because of their low traumatism and good cosmetic effect. Our study showed a high efficiency of laparoscopic operations in children suffered from non-parasitic spleen cysts with good long-term results.
About the authors
A. V. Myzin
Russian Children Clinical Hospital
Author for correspondence.
Email: noemail@neicon.ru
Россия
V. G. Kuleshov
Russian Children Clinical Hospital
Email: dr.kuleshov@gmail.com
Россия
A. E. Stepanov
Russian Children Clinical Hospital
Email: noemail@neicon.ru
Россия
N. V. Gerasimova
Russian Children Clinical Hospital
Email: noemail@neicon.ru
Россия
K. Yu. Ashmanov
Russian Children Clinical Hospital
Email: noemail@neicon.ru
Россия
References
- Higaki K., Jimi A., Watanabe J., Kusaba A., Kojiro M. Epidermoid cust of the spleen with CA 19-9 or carcinoembryonic antigen productions: report of three cases. Am. J. Surg. Pathol. 1998; 22(6): 704-8.
- Zvizdić Z., Karavdić K. Spleen-Preserving Surgery in treatment of large mesothelial splenic cyst in children-a case report and review of the literature. Bosn. J. Basic. Med. Sci. 2013; 13(2): 126-8.
- Hansen M.B., Moller A.C. Splenic cysts. Surg. Laparosc. Endosc. Percutan. Tech. 2004; 14(6): 316-22.
- Kabra N., Bowen J. Congenital splenic cyst: A case report and review of the literature. J. Pediatr. Child. Health. 2001;37(4): 400-2.
- Беляева О.А., Кондрашин С.А., Поляев Ю.А., Гарбузов Р.А., Мусаев Г.Х., Бондар З.М. и др. Комбинированные навигационные оперативные вмешательства у детей с солитарными кистами селезёнки. Российский вестник детской хирургии, анестезиологии и реаниматологии 2016; 6(1): 16-23
- Hodge M.G., Ricketts R.R., Simoneaux C.R., Abramowsky C.R., Elawabdeh N., Shehata B.M. Splenic cysts in the pediatric population: areport of 21 cases with review of the literature. Fetal and Pediatric Pathology. 2012; 31(2): 54-62.
- Rescorla F.J., West K.W., Engum S.A., Grosfeld J.L. Laparoscopic splenic procedures in children. Experience in 231 children. Annals of surgery. 2007; 246(4): 683-7; discussion 687-8.
- Рябов А., Морозова О., Рубанский М., Казанцев А., Панферова Т., Волобуев А. и др. Опухоли и кисты селезёнки у детей. Врач. 2010; (11): 40-3.
- Karfis E.A., Roustanis E., Tsimoyiannis E.C. Surgical management of nonparasitic splenic cysts. J.S.J.S. 2009; 13(2): 207-12.
- Ширяев А.А., Мусаев Г.Х., Харнас С.С, Рябова А.В., Кондрашин С.А., Ахмедова С.Н. и др. Непаразитарные кисты селезенки, методы хирургического лечения. Вестник хирургической гастроэнтелогии. 2013; (4): 26-32.
- Sellers G.J., Starker P.M. Laparoscopic treatment of a benigh splenic cyst. Surg. Endosc. 1997; 11(7):766-8.
- Mertens J., Penninckx F., DeWever I., Topal B. Long-term outcome after surgical treatment of nonparasitic splenic cysts. Surg. Endosc. 2007; 21(2): 206-8.
- Smith S.T., Scott D.J., Burdick J.S., Rege J.S., Jones D.B. Laparoscopic marsupialization and hemisplenectomy for splenic cysts. J. Laparoendosc. Adv Surg. Tech. A. 2001; 11(4): 243-9.
- Kaiser M.M., Fischer F. Wessel M.L. The laparoscopic spleen-preserving approach to splenic cysts: advantages and limitations. Zentralbl. Chir. 2008; 133(2): 142-7.
- Kaiwa Y., Kurokawa Y., Namiki K., Matsumoto H., Satomi S. Laparoscopic patial splenectomies for true splenic systs. Surg. Endosc. 2000; 14(9): 865.
- Cai H., An Y., Wu D., Chen X., Zhang Y., Zhu F. et al. Laparoscopic partial splenectomy: a preferred method for select patients. J. Laparoendosc. Adv. Surg. Tech. A. 2016; 26(12): 1010-4.
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