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Robotic partial splenectomy for hydatid cyst of the spleen

  • Case Management & Clinical Consequences
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Abstract

Background

Primary splenic involvement is an uncommon manifestation of hydatid disease. Partial laparoscopic splenectomy can be performed with lower risks and good hematological results by preserving the immunological function of the spleen. The aim of this study was to outline the advantages of robotic partial splenectomy as a treatment for splenic hydatid cysts.

Materials and methods

Four patients with splenic hydatidosis were treated by robotic approach. The patients included one man and three women, with a mean age of 24 years (range 16–34). The localization was in the upper pole in one case and voluminous cysts in the hilar region in the other three.

Results

Robotic hemisplenectomy was performed in the upper pole localized cyst and robotic subtotal splenectomy with lower pole preservation in the other three. The mean operative time was 120 min (±37 min) with a console time of 95 min (±28 min); the mean hospital stay was 5 days (±2 days).

Conclusion

Partial robotic splenectomy seems to offer safety and all benefits of minimally invasive surgery, preserves the immune function of the spleen and allows the surgeon to conserve as much of the splenic parenchyma as possible.

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Authors and Affiliations

  1. Fundeni Institute of Digestive Disease and Liver Transplantation, Bucharest, 258 Fundeni Street, Bucharest, Romania

    Catalin Vasilescu, Stefan Tudor, Monica Popa & Aida Tiron

  2. Department of Radiology and Clinical Imaging, Fundeni Clinical Institute, Bucharest, Romania

    Ioana Lupescu

Authors
  1. Catalin Vasilescu
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  2. Stefan Tudor
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  3. Monica Popa
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  4. Aida Tiron
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  5. Ioana Lupescu
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Corresponding author

Correspondence to Catalin Vasilescu.

Additional information

Authors’ contributions: Vasilescu C. is responsible for the study conception and design. Tudor S., Popa Monica, Tiron Aida, and Lupescu Ioana were assigned with the acquisition of data. Analysis and interpretation of data was done by Vasilescu C., Tudor S., Popa Monica. Drafting of manuscript was done by Tudor S. and Popa Monica. Vasilescu C. contributed to the critical revision of manuscript.

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Vasilescu, C., Tudor, S., Popa, M. et al. Robotic partial splenectomy for hydatid cyst of the spleen. Langenbecks Arch Surg 395, 1169–1174 (2010). https://doi.org/10.1007/s00423-010-0647-9

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  • DOI: https://doi.org/10.1007/s00423-010-0647-9

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