Minimally invasive spleen-preserving surgery to treat primary splenic hydatidosis: short and long-term outcomes: a cohort study.

Autor:	Aljaiuossi A; Faculty of Medicine, Yarmouk University, Irbid., Ba-Shammakh SA; Department of General Surgery, Ministry of Health, Amman, Jordan., Bani Hani M; King Abdullah University Hospital, Faculty of Medicine., Al-A'athal MS; Department of Public Health and Community Medicine, Jordan University of Science and Technology, Irbid., Elsobuh YM; King Abdullah University Hospital, Faculty of Medicine., Abu Sarhan H; Department of Ophthalmology, Hamad Medical Corporations, Doha, Qatar., Ennab RM; Faculty of Medicine, Yarmouk University, Irbid., Al-Zubi M; Faculty of Medicine, Yarmouk University, Irbid., Alhwari MJ; Faculty of Medicine, Yarmouk University, Irbid., Al Omari LG; Faculty of Medicine, Yarmouk University, Irbid., Mohammad FM; Faculty of Medicine, Yarmouk University, Irbid., Al Lami MS; Faculty of Medicine, Yarmouk University, Irbid., Zeitoon HB; Faculty of Medicine, Yarmouk University, Irbid., Alomari SA; Faculty of Medicine, Yarmouk University, Irbid., Ababneh SM; Faculty of Medicine, Yarmouk University, Irbid.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2024 Jul 01; Vol. 86 (9), pp. 4999-5006. Date of Electronic Publication: 2024 Jul 01 (Print Publication: 2024).
DOI:	10.1097/MS9.0000000000002320
Abstrakt:	Background: Primary splenic hydatidosis, a rare manifestation of Echinococcus granulosus infection, presents unique diagnostic and therapeutic challenges. This study compares spleen-preserving surgeries with total splenectomy for treating primary splenic hydatid cysts, focusing on short- and long-term outcomes in the Jordanian context, a region particularly affected by this condition. Methods: This retrospective analysis was conducted on 18 patients diagnosed with primary splenic hydatid cysts at two Jordanian hospitals from January 2015 to June 2021. Selection criteria included confirmed diagnosis and complete medical records. Surgical approaches, including laparoscopic partial splenectomy, cystectomy, and cyst deroofing, supplemented by albendazole therapy, were compared based on patient demographics, symptoms, surgical details, complications, and recurrence rates. Results: The study group was composed of ( n =7, 38.9%) male and ( n =11, 61.1%) female patients, with an average age of 33.7 years. Most presented with left upper quadrant pain. Postoperative complications occurred in 22% of patients, with an 11% recurrence rate during follow-up. No significant statistical difference in recurrence rates was observed between spleen-preserving surgeries and total splenectomy. These findings highlight the efficacy of less invasive, spleen-preserving techniques in managing primary splenic hydatidosis, showing comparable outcomes to total splenectomy with minimal impact on recurrence rates. Conclusion: Spleen-preserving surgery offers a viable alternative to total splenectomy in treating primary splenic hydatid cysts. This approach maintains immune functionality and reduces septic risks, especially in pediatric patients. The study underscores the importance of individualized treatment approaches and suggests further research with larger cohorts for more comprehensive insights into managing this rare condition. The limitations of this study include its small sample size and retrospective nature. Competing Interests: The authors have no conflicts of interest to disclose relevant to this article.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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