Nonparasitic Splenic Cysts in Children: A Multicentric Study

Czauderna, Piotr; Vajda, Péter; Schaarschmidt, K.; Kálmán, Attila; Jainsch, M.; Eņģelis, Arnis; Lewicki, K.; Verebély, Tibor; Koltai, J. L.; Pētersons, Aigars; Pintér, Andrew

doi:10.1055/s-2006-924748

Cited by 52 publications

(49 citation statements)

References 16 publications

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“…Czauderna et al [58] reported that in a study of 50 children with nonparasitic splenic cysts, laparoscopic removal of the cyst was associated with a higher rate of complications and recurrence than open surgery.…”

Section: Splenectomy For Benign and Malignant Disordersmentioning

confidence: 99%

Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

et al. 2008

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Section: Splenectomy For Benign and Malignant Disordersmentioning

confidence: 99%

Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

et al. 2008

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“…CT and magnetic resonance imaging are of choice in the diagnosis and planning of the surgical strategy 3,8,9 . In large cysts, CT with 3-D reconstruction may show the relationship with hilum vessels and remaining spleen size.…”

Section: Discussionmentioning

confidence: 99%

Quiste esplénico gigante en una adolescente: Caso clínico

Torres

García

Anta

et al. 2017

Rev. chil. pediatr.

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Giant nonparasitic splenic epidermoid cysts are relatively uncommon. These lesions can lead abdominal pain, but most of them are asymptomatic, and they are discovered incidentally. We report a 13-y old female with a giant splenic epidermoid cystic, given the special interest of diagnostic and therapeutic decision-making of this rare entity. Case report: A 13-y old female with clinical history of abdominal pain since the last two months. On physical examination a firm, hemotender mass was palpable in left hypochondrium. Diagnosis of a large cystic splenic mass was made based on ultrasound and abdominal computed tomography scan. Splenectomy was performed, and histopathological-immunohistochemistry studies revealed findings suggestive of primary epithelial cyst. The post-operative clinical course was satisfactory and uneventful. Conclusions: Treatment of giant nonparasitic splenic cysts is surgical. Preserve splenic parenchyma must be the aim in an individualized decision-making. The different types of surgical modalities will be according to the diagnosis and clinical situation (cyst size, age, comorbidities).

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“…A European multicentre case series over 25 year period treating 50 children with NPSC consisted of 7 children managed by partial cyst excision. They had a median operating time of 90 min and 12 months median follow up resulting in 44% recurrence (Czauderna et al, 2006). Two other large case series with 13 and 14 patients described symptomatic recurrence rates of 7.6 and 7.1% respectively (Langer et al, 2008;Schier et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

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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Nonparasitic Splenic Cysts in Children: A Multicentric Study

Cited by 52 publications

References 16 publications

Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

Quiste esplénico gigante en una adolescente: Caso clínico

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

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