Молодежный инновационный вестникМолодежный инновационный вестник2415-7805Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации9579Conference ProceedingsModern methods of surgical treatment of non-parasitic splenic cysts in childrenBurkoYuriy Andreevich<p>The operator of the scientific company</p>virko-viktor@mail.ruGlushkovAnton<p>The operator of the scientific company</p>volganeva19@mail.ruVirkoViktorvirko-viktor@mail.ruS. M. Kirov Military Medical Academy280620241318101402202410042024Copyright © 2024, Burko Y.A., Glushkov A., Virko V.2024<p>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.</p> <p>Aim. To analyze the main modern methods of treatment of nonparasitic spleen cysts in children.</p> <p>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.</p> <p>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.</p>Non-parasiticcystcystectomydecapsulationlaparoscopymarsupializationfenestrationнепаразитарнаякистацистэктомиядекапсуляциялапароскопиямарсупиализацияфенестрация<p>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].</p> <p>The aim of the work. To analyze the main modern methods of treatment of nonparasitic spleen cysts in children.</p> <p>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.</p> <p>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].</p> <p>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].</p>1.Gezer H., Oğuzkurt P., Temiz A., İnce Е., Ezer S., Koçer N., Demir Ş, Hiçsönmez А\ Spleen Salvaging Treatment Approaches in Non-parasitic Splenic Cysts in Childhood\\ 2016; 293-82.Sinha С., Agrawal M. \Nonparasitic splenic cysts in children: Current status\\ 2011; 49-53.3.Katherine С., Scorletti F., Alhajjat А., Green J., Shaaban А., \Nonparasitic Splenic Cysts in Children: Outcomes after Sclerotherapy or Surgical Resection as Initial Management \\ 2023; 1822-1826.4.Hassoun J., Ortega G., Burkhalter L., Josephs S., F. Qureshi \ Management of nonparasitic splenic cysts in children\\ 2018; 142-148.5.Delforge X., Chaussy Y., Borrego P., Abbo O., Sauvat F., Ballouhey Q., Irtan S., Arnaud А., Ibtissam К., Panait N., Rodesch G., Steyaert H., Schneider А., Dubois R., Mesureur S., Haraux E., Buisson P.\ Management of nonparasitic splenic cysts in children: A French multicenter review of 100 cases\\ 2017; 1465-1470.6.López J., Lodwick D., Cooper J., Hogan M., King D., Minneci P \ Sclerotherapy for splenic cysts in children\\ 2017; 219:1-4.7.Hodge М., Ricketts R., Simoneaux S., Abramowsky С., Elawabdeh N., Shehata B\ Splenic cysts in the pediatric population: a report of 21 cases with review of the literature\\ 2012; 54-62.8.Gasparetto A., Alonso J., Temple М., Parra D., Chiramel G., Chand R., Amaral J\ Safety and Effectiveness of Sclerotherapy for Nonparasitic Splenic Cysts: A Systematic Review and Meta-Analysis\\ 2023; 2110-2119.