Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts
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Introduction/Objective Splenic cysts are a rare clinical entity. In their origin, they may be parasitic or non-parasitic. They are classified as either primary (true) or secondary cysts (pseudocysts), depending on the presence or absence of an epithelial lining of the lumen. Methods Using a retrospective case study, we included 29 patients undergoing laparoscopic surgery due to splenic cysts. The patients were treated within the 2007-2017 period at the Clinic for Digestive Surgery, the Clinical Center of Serbia. We analyzed pre-operative, intra-operative and post-operative characteristics of laparoscopic technique in treating non-parasitic splenic cysts. Results The group of 29 patients treated with laparoscopic technique surgery due to the previously diagnosed splenic cyst, consisted of 12 (41.4%) men and 17 (58.6%) women. The average age of patients undergoing surgery was 38.86 ± 10.4 years (22-62). Based on the histopathological findings, there were eight epithelial cysts and 21 pse...udocysts of the spleen. The maximal diameter of the splenic cyst, measured pre-operatively, was 10.09 ± 2.51 cm on average. The average operative time was 35 minutes, and the intra-operative bleeding amount was 11.48 ± 3.78 ml. None of the intra-operative complications, injury to the spleen or other organs of the abdomen, conversions to open surgery or reintervention were recorded. Conclusion Laparoscopic fenestration with excision of the part of the spleen cyst wall (marsupialization) represents an effective and definitive treatment for this disease. It is an alternative to splenectomy, along with other well-known benefits ensured by the spleen preservation. Low probability of occurrence of intra-operative and post-operative complications, as well as minimal trauma of tissue, results in a shorter postoperative stay, rapid recovery, and better quality of life. © 2019, Serbia Medical Society. All rights reserved.
Кључне речи:
cyst / spleen / laparoscopy / laparoscopic techniqueИзвор:
Srpski arhiv za celokupno lekarstvo, 2019, 147, 5-6, 307-310
DOI: 10.2298/SARH181008029M
ISSN: 0370-8179
WoS: 000480440900007
Scopus: 2-s2.0-85070666990
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VinčaTY - JOUR AU - Milosavljević, Vladimir AU - Tadić, Boris AU - Grubor, Nikola AU - Erić, Dragan AU - Matić, Slavko PY - 2019 UR - https://vinar.vin.bg.ac.rs/handle/123456789/8456 AB - Introduction/Objective Splenic cysts are a rare clinical entity. In their origin, they may be parasitic or non-parasitic. They are classified as either primary (true) or secondary cysts (pseudocysts), depending on the presence or absence of an epithelial lining of the lumen. Methods Using a retrospective case study, we included 29 patients undergoing laparoscopic surgery due to splenic cysts. The patients were treated within the 2007-2017 period at the Clinic for Digestive Surgery, the Clinical Center of Serbia. We analyzed pre-operative, intra-operative and post-operative characteristics of laparoscopic technique in treating non-parasitic splenic cysts. Results The group of 29 patients treated with laparoscopic technique surgery due to the previously diagnosed splenic cyst, consisted of 12 (41.4%) men and 17 (58.6%) women. The average age of patients undergoing surgery was 38.86 ± 10.4 years (22-62). Based on the histopathological findings, there were eight epithelial cysts and 21 pseudocysts of the spleen. The maximal diameter of the splenic cyst, measured pre-operatively, was 10.09 ± 2.51 cm on average. The average operative time was 35 minutes, and the intra-operative bleeding amount was 11.48 ± 3.78 ml. None of the intra-operative complications, injury to the spleen or other organs of the abdomen, conversions to open surgery or reintervention were recorded. Conclusion Laparoscopic fenestration with excision of the part of the spleen cyst wall (marsupialization) represents an effective and definitive treatment for this disease. It is an alternative to splenectomy, along with other well-known benefits ensured by the spleen preservation. Low probability of occurrence of intra-operative and post-operative complications, as well as minimal trauma of tissue, results in a shorter postoperative stay, rapid recovery, and better quality of life. © 2019, Serbia Medical Society. All rights reserved. T2 - Srpski arhiv za celokupno lekarstvo T1 - Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts VL - 147 IS - 5-6 SP - 307 EP - 310 DO - 10.2298/SARH181008029M ER -
@article{ author = "Milosavljević, Vladimir and Tadić, Boris and Grubor, Nikola and Erić, Dragan and Matić, Slavko", year = "2019", abstract = "Introduction/Objective Splenic cysts are a rare clinical entity. In their origin, they may be parasitic or non-parasitic. They are classified as either primary (true) or secondary cysts (pseudocysts), depending on the presence or absence of an epithelial lining of the lumen. Methods Using a retrospective case study, we included 29 patients undergoing laparoscopic surgery due to splenic cysts. The patients were treated within the 2007-2017 period at the Clinic for Digestive Surgery, the Clinical Center of Serbia. We analyzed pre-operative, intra-operative and post-operative characteristics of laparoscopic technique in treating non-parasitic splenic cysts. Results The group of 29 patients treated with laparoscopic technique surgery due to the previously diagnosed splenic cyst, consisted of 12 (41.4%) men and 17 (58.6%) women. The average age of patients undergoing surgery was 38.86 ± 10.4 years (22-62). Based on the histopathological findings, there were eight epithelial cysts and 21 pseudocysts of the spleen. The maximal diameter of the splenic cyst, measured pre-operatively, was 10.09 ± 2.51 cm on average. The average operative time was 35 minutes, and the intra-operative bleeding amount was 11.48 ± 3.78 ml. None of the intra-operative complications, injury to the spleen or other organs of the abdomen, conversions to open surgery or reintervention were recorded. Conclusion Laparoscopic fenestration with excision of the part of the spleen cyst wall (marsupialization) represents an effective and definitive treatment for this disease. It is an alternative to splenectomy, along with other well-known benefits ensured by the spleen preservation. Low probability of occurrence of intra-operative and post-operative complications, as well as minimal trauma of tissue, results in a shorter postoperative stay, rapid recovery, and better quality of life. © 2019, Serbia Medical Society. All rights reserved.", journal = "Srpski arhiv za celokupno lekarstvo", title = "Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts", volume = "147", number = "5-6", pages = "307-310", doi = "10.2298/SARH181008029M" }
Milosavljević, V., Tadić, B., Grubor, N., Erić, D.,& Matić, S.. (2019). Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts. in Srpski arhiv za celokupno lekarstvo, 147(5-6), 307-310. https://doi.org/10.2298/SARH181008029M
Milosavljević V, Tadić B, Grubor N, Erić D, Matić S. Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts. in Srpski arhiv za celokupno lekarstvo. 2019;147(5-6):307-310. doi:10.2298/SARH181008029M .
Milosavljević, Vladimir, Tadić, Boris, Grubor, Nikola, Erić, Dragan, Matić, Slavko, "Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts" in Srpski arhiv za celokupno lekarstvo, 147, no. 5-6 (2019):307-310, https://doi.org/10.2298/SARH181008029M . .