Modern methods of surgical treatment of non-parasitic splenic cysts in children
- Authors: Burko Y.A.1, Glushkov A.1, Virko V.1
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Affiliations:
- S. M. Kirov Military Medical Academy
- Issue: Vol 13, No 1 (2024): Материалы XVII Всероссийского форума с международным участием «Инновационные технологии в хирургии»
- Pages: 8-10
- Section: Хирургические дисциплины
- URL: https://new.vestnik-surgery.com/index.php/2415-7805/article/view/9579
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Abstract
Introduction. There is no reliable and absolutely accurate, scientifically proven method of treating cysts, the opinions of the authors contradict each other, and there is still no unified systematic classification of the disease and a high risk of complications.
Aim. To analyze the main modern methods of treatment of nonparasitic spleen cysts in children.
Materials and methods. A retrospective review of the literature over the past 10 years on the issue of modern surgical methods for the treatment of nonparasitic spleen cysts in children has been conducted.
Results. Over the past ten years, the authors have been increasingly inclined to minimally invasive laparoscopic interventions. But the "gold standard" is a traditional splenectomy. The main methods of choice remain open or laparoscopic cystectomy/partial decapsulation, fenestartion, and marsupialization. Partial splenectomy can provide a better balance between recurrence and spleen preservation.Conclusion. Recently, the surgical approach in the treatment of nonparasitic spleen cysts has been changing towards conservative and minimally invasive methods of treatment in order to preserve the spleen in children for immunological indications.
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Introduction. The first information about spleen cysts dates back to the beginning of the 19th century, however, there is no reliable and absolutely accurate, scientifically proven treatment method, the opinions of the authors contradict each other, and there is still no unified systematic classification of the disease and a high risk of complications. The frequency of manifestations of this disease is steadily progressing, as is the urgency of finding a new treatment method. [1, 2, 3].
The aim of the work. To analyze the main modern methods of treatment of nonparasitic spleen cysts in children.
Materials and methods. A retrospective review of the literature over the past 10 years on the issue of modern surgical methods for the treatment of nonparasitic spleen cysts in children has been conducted.
Results. An analysis of the literature data shows that nonparasitic spleen cysts in children are a rather rare pathology in children. Surgical treatment is indicated for patients with the appearance of a clinical picture and can be offered for an asymptomatic course with a cyst size of more than 5 cm. Over the past ten years, the authors have been increasingly inclined to minimally invasive laparoscopic interventions. But the "gold standard" is a traditional splenectomy. The main methods of choice remain open or laparoscopic cystectomy/partial decapsulation, fenestartion, and marsupialization. Partial splenectomy can provide a better balance between recurrence and spleen preservation [4, 5, 6].
Conclusions. Recently, the surgical approach in the treatment of nonparasitic spleen cysts has been changing towards conservative and minimally invasive methods of treatment in order to preserve the spleen in children according to immunological indications [7, 8].
About the authors
Yuriy Andreevich Burko
S. M. Kirov Military Medical Academy
Email: virko-viktor@mail.ru
The operator of the scientific company
Russian Federation, 194044, Russia, Saint Petersburg, 37A Akademika Lebedeva str.Anton Glushkov
S. M. Kirov Military Medical Academy
Author for correspondence.
Email: volganeva19@mail.ru
The operator of the scientific company
Russian Federation, 194044, Russia, Saint Petersburg, 37A Akademika Lebedeva str.Viktor Virko
S. M. Kirov Military Medical Academy
Email: virko-viktor@mail.ru
Russian Federation, 194044, Russia, Saint Petersburg, 37A Akademika Lebedeva str.
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