Laparoscopic decapsulation of congenital splenic cysts: a step forward in splenic preservation

MacKenzie, Rhoda; Youngson, George; Mahomed, Anies

doi:10.1016/j.jpedsurg.2003.09.031

Cited by 34 publications

(30 citation statements)

References 13 publications

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“…There was no recurrence after 5 years of follow up. Several other studies have shown that laparoscopic partial cystectomy to be safe and effective (Till and Schaarschmidt, 2004;Mackenzie et al, 2004;Dan et al, 2010;Sellers and Starker, 1997;Gianom et al, 2003;Mertens et al, 2007). Results of our review support that laparoscopic partial cyst excision is safe and effective spleen preserving option in the treatment of NPSC.…”

Section: Discussionsupporting

confidence: 76%

“…But Mackenzie et al (2004) proved that it is possible to treat upper pole cysts by laparoscopic decapsulation successfully (Mackenzie et al, 2004). We have supported, Mackenzie et al (2004) by successfully performing partial decapsulation of a large superior pole cyst. Cysts located in the splenic hilum, those covered completely by the splenic parenchyma and multiple cysts would require partial or total splenectomy.…”

Section: Discussionmentioning

confidence: 75%

“…Cyst in the upper pole are considered critical by some authors (Mezquita et al, 2007). But Mackenzie et al (2004) proved that it is possible to treat upper pole cysts by laparoscopic decapsulation successfully (Mackenzie et al, 2004). We have supported, Mackenzie et al (2004) by successfully performing partial decapsulation of a large superior pole cyst.…”

Section: Discussionmentioning

confidence: 76%

“…Cyst recurrence is possible if any cyst lining remains and the cavity opening close up. It is recommended that cyst is resected as close to the splenic tissue as possible and that as much of the cyst wall as possible should be resected (Till and Schaarschmidt, 2004;Mackenzie et al, 2004;Dan et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Partial Cystectomy for Non-Parasitic Splenic Cyst: A Case and Literature Review

Tennakoon¹,

Jodlowski²,

Carney³

2015

J. of Medical Sciences

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Nonparasitic splenic cysts are rare and no treatment guidelines exists. Laparoscopic partial cystectomy is an attractive minimally invasive spleen preserving treatment option. The aim of this paper is to share our experience and review evidence to support laparoscopic partial cystectomy. A search was performed of PubMed and Ovid Embase. All human studies published in English language describing laparoscopic management of non-parasitic splenic cysts without any age restrictions were reviewed. Forty two studies fulfilled inclusion and exclusion criteria out of 254 studies. The total number of patients were 134. All studies were case reports or retrospective case series which ranged in size from one to 14 patients. Ten studies (24%) involved paediatric patients. Majority of patients were female. Median age ranged from 8.5-43 and median operative time varied between 56-120 min. One study reported bleeding from the cyst wall requiring splenectomy. All other studies did not report any major intra operative or post-operative complications. Median follow up period varied from 6-60 months. Overall recurrence rates varied from 0-100%. When all 134 partial cyst excisions are considered overall, 25 patients developed recurrent cysts leading to a recurrence rate of 19%. Only 13 patients (9.7%) developed symptomatic recurrences needing further intervention. Laparoscopic partial cyst excision is a relatively straightforward safe and effective spleen preserving surgical option with acceptable recurrence rate in the treatment of nonparasitic symptomatic splenic cysts.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Laparoscopic Partial Cystectomy for Non-Parasitic Splenic Cyst: A Case and Literature Review

Tennakoon¹,

Jodlowski²,

Carney³

2015

J. of Medical Sciences

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“…3 Pas na 1980 is deze behandeling ter discussie komen te staan, door ziektebeelden als het OPSI-syndroom (overwhelming post-splenectomy infection), waarna miltsparende behandelingen zijn geprobeerd, door middel van percutane drainage (eventueel gevolgd door sclerosering) 8 , partiele splenectomie en decapsulatie. 3 De laatste jaren 4,5,9,10 Om het risico op terugkeer van de cyste zo klein mogelijk te maken, dient bij de operatie waarbij fenestratie/marsupialisatie plaatsvindt, een groot gedeelte van de cystewand verwijderd te worden, en daarna een gedeelte van het omentum over het defect te worden geplaatst. Bij partiële splenectomie wordt een gedeelte van de milt, met daarin de cyste, verwijderd.…”

Section: Beschouwingunclassified

Een 10-jarige jongen met een stomp buiktrauma en vrij vocht in de buik

Stigt¹,

Sietses²,

Boekhoudt³

2010

TVTR

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Laparoscopic Treatment of Enteric Duplications and Other Abdominal Cystic Masses

Steyaert

Valla

Endoscopic Surgery in Infants and Children

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Laparoscopic decapsulation of congenital splenic cysts: a step forward in splenic preservation

Cited by 34 publications

References 13 publications

Laparoscopic Partial Cystectomy for Non-Parasitic Splenic Cyst: A Case and Literature Review

Laparoscopic Partial Cystectomy for Non-Parasitic Splenic Cyst: A Case and Literature Review

Een 10-jarige jongen met een stomp buiktrauma en vrij vocht in de buik

Laparoscopic Treatment of Enteric Duplications and Other Abdominal Cystic Masses

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