PP 78. Surgical Treatment for Splenic Hydatidosis
A Uzunköy
16:54 - 17:00h
at Margrit Room
Categories: Gastrointestinal Surgery, Poster Session
Session: Poster II (P1) - Gastrointestinal Surgery
Background
Hydatid cyst disease is one of the most important health problems on the worldwide. Although hydatid disease is rare in spleen, it is the third most common area for hydatid cysts after liver and lung. Splenectomy is preferred treatment of splenic hydatid cysts. The aim of the study was to evaluate outcomes of surgical treatment of splenic hydatid disease.
Material and Methods
Sixteen patients who were operated on for splenic hydatid cysts between 1998 and 2013 were retrospectively evaluated.
Result
Six patients had isolated splenic hydatid cysts and 9 patients had splenic and hepatic hydatid cysts and one patient had splenic, lung and hepatic hydatid cysts. The diagnosis and localisation are established with abdominal ultrasonography and tomography. Albendazole was preoperatively given all the patients. Ten patients underwent total splenectomy and six patients had partial splenectomy (4 cases) or partial cystectomy (2 cases) with omentopexy. For hepatic hydatid cysts; PAIR (percutan aspiration injection and reaspiration) and drainage were performed in two cases and partial cystectomy and omentopexy was performed in seven cases. Albendazole treatment was postoperatively given all of cases during 14 day- three months. The patients were followed up with ultrasonography and tomography.
Conclusion
Splenic hydatidosis is a rare condition and there are no specific symptoms. Hydatic disease should be considered at the patients with splenic cysts to preserve spreading cystic content into abdominal cavity during surgical intervention. Optimal treatment of splenic hydatid cyst is total splenectomy. However, spleen preserving surgery (partial splenectomy or partial hydatid cystectomy) can be safely performed in the selected cases.
