Minimally Invasive Methods of Treatment of Nonparasitic Spleen Cysts

The OBJECTIVE was to study the results of minimally invasive methods of treatment of nonparasitic spleen cysts.

METHODS AND MATERIALS. A prospective nonrandomized study of 71 patients with nonparasitic spleen cysts was carried out. Depending on the method of treatment, the patients were divided into 2 groups: in the l group, patients (n=49) underwent laparoscopic operations, in the ll – puncture sclerosing treatment under US control (n=22). All patients underwent clinical and laboratory tests (including serological blood tests by IHA and EIA), instrumental research methods (US, CT angiography, MRT), intraoperative express cytological examination of punctate.

RESULTS. In group 1, cyst fenestration was performed in 3 patients, splenectomy with autotransplantation of the splenic tissue was performed in 15 patients, resection of the spleen with a cyst was performed in 31 patients. In group II, puncture treatment was carried out in patients with comorbid pathology, with contraindications to endotracheal anesthesia, and deep intraparenchymal cyst location.

CONCLUSION. Laparoscopic methods provide better results compared to puncture sclerosing technique: the frequency of intraoperative complications is significantly lower (RR 0.26 (0.07–1.02), P=0.055), relapses after 6–36 months – 2.04 % and 18.1 %, respectively (P=0.044), the length of hospital stay was 10.0 ± 0.3 and 14.0±0.5 days, respectively (P <0.05). 

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