Spleen-preserving surgery is effective for the treatment of spleen cystic echinococcosis.

Abstract

OBJECTIVE:

This study evaluated two surgical procedures, total splenectomy and spleen-preserving surgery, for the treatment of spleen cystic echinococcosis (CE).

METHODS:

A total of 21 patients who underwent surgery for removal of spleen CE were evaluated retrospectively. Patients were divided into two groups, those who received a total splenectomy (n=7) and those who underwent spleen-preserving surgery (n=14).

RESULTS:

Total splenectomy surgery took 127.1±11.1min and spleen-preserving surgery took 104.3±25.3min (p<0.05). The length of hospital stay was the same for both patient groups (10.6 days on average). No patient suffered from recurrence during follow-up and all of the patients made a good recovery. No patient developed post-splenectomy sepsis or serious infectious complications. No patient suffered recurrence.

CONCLUSIONS:

The spleen-saving approach is likely an effective method for the removal of CE spleen cysts given that it is a quick procedure and preserves the function of the spleen. Total splenectomy procedures may be performed particularly for larger, centrally located cysts.

• Authors: Bo Ran, Yingmei Shao, Yusfu Yimiti, Tuerganaili Aji, Paizula Shayiding, Tieming Jiang, Haitao Li, Jun Li, Wenbao Zhang, Hao Wen
• Journal: International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases (Int J Infect Dis) Vol. 29 Pg. 181-3 (Dec 2014) ISSN: 1878-3511 [Electronic] Canada
• PMID: 25448337 (Publication Type: Journal Article)
• Copyright: Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

Topics

• Adult
• Echinococcosis (surgery)
• Female
• Humans
• Length of Stay
• Male
• Middle Aged
• Retrospective Studies
• Spleen (surgery)
• Splenectomy
• Splenic Diseases (surgery)
• Young Adult