Title: Long-term outcome after surgical treatment of nonparasitic splenic cysts
Authors: Mertens, Jozef
Penninckx, Freddy
De Wever, Ivo
Topal, Baki #
Issue Date: Nov-2006
Publisher: Springer International
Series Title: Surgical endoscopy: ultrasound and interventional techniques vol:21 pages:206-208
Abstract: BACKGROUND: The optimal treatment for patients with nonparasitic splenic cysts is controversial. This study aimed to evalulate the clinical outcome of patients treated for a symptomatic splenic cyst, and to define a surgical strategy. METHODS: Spleen-preserving surgery (9 laparotomies and 6 laparoscopies) was performed for a primary cyst in six patients and a secondary cyst in nine patients. The median follow-up time was 37.5 months. Partial splenic resection was performed for eight patients and cyst decapsulation for seven patients. RESULTS: Cyst recurrence was observed in four patients after decapsulation of a primary splenic cyst, as compared with none after resection. Postoperative complications were encountered only after laparotomy (5/9). The median hospital stay was 3.5 days (range, 2-5 days) after laparoscopy, as compared with 9 days (range, 5-14 days) after laparotomy. CONCLUSIONS: Symptomatic splenic cysts should be treated laparoscopically. For patients with recurrent or suspected primary splenic cysts, laparoscopic partial splenectomy is preferable. For other cases, a laparoscopic decapsulation is advocated.
ISSN: 0930-2794
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Clinical Residents Medicine
Abdominal Surgical Oncology
Surgical Oncology
# (joint) last author

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