Epithelial splenic cysts in children: surgical treatment by cyst-wall "peeling''
Epithelial splenic cysts in children: surgical treatment by cyst-wall "peeling''
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DOI：
10.1007/s00383-002-0879-z
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发表时间：
2003-06-01
影响因子：
1.8
通讯作者：
Miele, V
中科院分区：
文献类型：
--
作者：
Calisti, A;Perrotta, ML;Miele, V
原发性脾囊肿是一种罕见的发现。有些很大，需要手术切除。表皮样型有表皮衬里，预防复发依赖于完全切除囊肿壁，保留脾组织。已经提出了几种带有或不带有脾切除的开放式、腹腔镜式或经皮手术，但很少能给出完全令人满意的结果。连续5例儿童脾上皮囊肿均采用保留实质的完全切除囊壁的方法进行治疗，将囊壁轻轻地从脾组织上剥离，除1例外均未出现大出血。长期随访显示无复发。
Primary splenic cysts are a rare finding. Some are large and require surgical removal. The epidermoid type has an epidermal lining, and prevention of recurrence is dependent on complete resection of the cyst wall, preserving the splenic tissue. Several open, laparoscopic, or percutaneous procedures have been proposed with or without splenic resection, but few give completely satisfactory results. Five consecutive splenic epithelial cysts in pediatric patients were treated by parenchyma-sparing complete removal of the cyst wall, which was gently peeled off the splenic tissue without major bleeding in all but one case. Long-term follow-up showed freedom from recurrence.