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Non-parasitic splenic cysts: A report of three cases
作者姓名:Macheras A  Misiakos EP  Liakakos T  Mpistarakis D  Fotiadis C  Karatzas G
作者单位:3rd Department of Surgery,3rd Department of Surgery,3rd Department of Surgery,3rd Department of Surgery,3rd Department of Surgery,3rd Department of Surgery University of Athens,School of Medicine,Attikon University Hospital,Haidari,Athens,Greece,University of Athens,School of Medicine,Attikon University Hospital,Haidari,Athens,Greece,University of Athens,School of Medicine,Attikon University Hospital,Haidari,Athens,Greece,University of Athens,School of Medicine,Attikon University Hospital,Haidari,Athens,Greece,University of Athens,School of Medicine,Attikon University Hospital,Haidari,Athens,Greece,University of Athens,School of Medicine,Attikon University Hospital,Haidari,Athens,Greece
摘    要:Primary splenic cyst is a relatively rare disease, and the majority of cases are classified as epithelial cysts. Three cases with nonparasitic splenic cysts are presented: two epithelial and one pseudocyst. All cases had an atypical symptomatology, consisted mainly of fullness in the left upper abdomen and a palpable mass. Preoperative diagnosis was established with ultrasonography and computerized tomography. Two cases with large cysts located in the splenic hilum were treated with open complete splenectomy. The most recent case, a pseudocyst, was managed laparoscopically with partial cystectomy. All cases did not have any problems or recurrence during follow-up. Laparoscopic partial cystectomy is an acceptable procedure for the treatment of splenic cysts, because it cures the disease preserving the splenic tissue. Complete splenectomy is reserved for cases in which cyst excision cannot be done otherwise.

关 键 词:胰腺囊肿  寄生疾病  腹腔镜  手术治疗
收稿时间:2005 Mar 12

Non-parasitic splenic cysts: a report of three cases
Macheras A,Misiakos EP,Liakakos T,Mpistarakis D,Fotiadis C,Karatzas G.Non-parasitic splenic cysts: a report of three cases[J].World Journal of Gastroenterology,2005,11(43):6884-6887.
Authors:Macheras A  Misiakos E-P  Liakakos T  Mpistarakis D  Fotiadis C  Karatzas G
Institution:Macheras A, Misiakos EP, Liakakos T, Mpistarakis D, Fotiadis C, Karatzas G, 3rd Department of Surgery, University of Athens, School of Medicine, Attikon University Hospital, Haidari, Athens, Greece
Abstract:Primary splenic cyst is a relatively rare disease, and the majority of cases are classified as epithelial cysts. Three cases with nonparasitic splenic cysts are presented: two epithelial and one pseudocyst. All cases had an atypical symptomatology, consisted mainly of fullness in the left upper abdomen and a palpable mass. Preoperative diagnosis was established with ultrasonography and computerized tomography. Two cases with large cysts located in the splenic hilum were treated with open complete splenectomy. The most recent case, a pseudocyst, was managed laparoscopically with partial cystectomy. All cases did not have any problems or recurrence during follow-up. Laparoscopic partial cystectomy is an acceptable procedure for the treatment of splenic cysts, because it cures the disease preserving the splenic tissue. Complete splenectomy is reserved for cases in which cyst excision cannot be done otherwise.
Keywords:Spleen  Epithelial cyst  Surgery  Laparoscopy
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