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Journal of Gastrointestinal Surgery

, Volume 16, Issue 6, pp 1189–1193 | Cite as

Selecting a Surgical Modality to Treat a Splenic Hydatid Cyst: Total Splenectomy or Spleen-Saving Surgery?

  • Zulfu Arikanoglu
  • Fatih Taskesen
  • Hatice Gumus
  • Akin Onder
  • Ibrahim Aliosmanoglu
  • Mesut Gul
  • Omer Lutfi Akgul
  • Celalettin Keles
Original Article

Abstract

Aim

We analyzed the outcomes and effectiveness of surgical treatments and clinical manifestations of splenic hydatid cysts.

Patients and Methods

Between 2000 and 2011, we retrospectively reviewed the cases of 11 patients who were operated on for a splenic hydatid cyst. The demographic features, medical history, physical examinations, biochemical and serological tests, imaging modalities, and surgical treatment of the patients were noted.

Results

The mean patient age was 36.45 years (range, 20–66 years). While isolated splenic hydatid disease was present in five patients, other abdominal hydatid cysts were accompanied by a splenic hydatid cyst in six patients. Left upper abdominal pain was present in seven (64%) patients, whereas four (36%) patients were asymptomatic. Eight patients (72.72%) had undergone a total splenectomy and three (27.28%) had undergone spleen-preserving surgery. Postoperative complications developed in four (36%) patients at 5–15 days postoperatively.

Conclusion

Management of a splenic hydatid cyst is not consensual. Total splenectomy is optimal because it provides definitive treatment. However, spleen-preserving surgery is the preferred treatment in selected patients. The choice of technique depends on the localization, number, and size of hydatid cysts, and the absence or presence of other hydatic organ cysts.

Keywords

Hydatid cyst Spleen Surgical treatment 

Notes

Conflict of Interest

The authors have no conflicts of interest or competing financial interests with regards to this manuscript.

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Copyright information

© The Society for Surgery of the Alimentary Tract 2012

Authors and Affiliations

  • Zulfu Arikanoglu
    • 1
  • Fatih Taskesen
    • 1
  • Hatice Gumus
    • 2
  • Akin Onder
    • 1
  • Ibrahim Aliosmanoglu
    • 1
  • Mesut Gul
    • 1
  • Omer Lutfi Akgul
    • 1
  • Celalettin Keles
    • 1
  1. 1.Department of SurgeryDicle University Faculty of MedicineDiyarbakirTurkey
  2. 2.Department of RadiologyDicle University Faculty of MedicineDiyarbakirTurkey

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