Efficacy of minimally invasive percutaneous treatment techniques in hydatid cyst of the spleen

Yıl 2020, Cilt: 10 Sayı: 3, 403 - 407, 30.09.2020

Bekir Turgut Fatih Öncü

https://doi.org/10.16899/jcm.710857

Öz

Aim
The aim of this study was to evaluate the long-term results of percutaneous treatment methods in the treatment of splenic hydatid cyst.
Methods
Between June 2015 and January 2020, records of patients who underwent percutaneous treatment were retrospectively reviewed. Before the treatment, ultrasonography reports were reviewed and cyst type, cyst size and localization were listed. Percutaneous treatment type, complications, duration of hospitalization were listed. Follow-up ultrasonography reports were evaluated and the follow-up period, the size of the cyst at the last follow-up, were recorded.
Results
Data of nine patients with CE1, CE3a and CE3b splenic hydatid cyst treated with PAIR and standard catheterization were included in the study. No periprocedural complication was observed. The mean duration of hospitalization was 1.67 (± 1.73) days. The mean pretreatment cyst size was 8.11 (± 3.55) cm. The final follow-up cyst size was 6.46 (± 3.57) cm and there was a significant decrease in size compared to the initial size (p = 0.050). The mean follow-up period was 9.56 (± 11.08) months. Recurrence occurred in two patients during the follow-up period. Only one patient required surgical treatment due to the second relapse.
Conclusion
Percutaneous treatment methods are an effective and safe method in the treatment of splenic hydatid cyst.

Anahtar Kelimeler

hydatid cyst, splenic hydatid cyst, PAIR, echinococcus granulosus

Dalak yerleşimli kist hidatik tedavisinde minimal invaziv perkütan tedavi tekniklerinin etkinliği

Öz

Amaç
Bu çalışmanın amacı dalak kist hidatiği tedavisinde uygulanan perkütan tedavi yöntemlerinin uzun dönem sonuçlarını değerlendirmektir.
Yöntemler
Haziran 2015 ve Ocak 2020 tarihleri arasında, perkütan tedavi uygulanmış olan hastaların dosya kayıtları geriye dönük olarak tarandı. Tedavi öncesi uygulanan ultrasonografi raporları incelendi ve kist tipi, kist boyutu ve lokalizasyonu listelendi. Perkütan tedavi türü, komplikasyonlar, hastanede yatış süresi listelendi. Takip ultrasonografi raporları değerlendirildi, takip süresi ve kistin son kontroldeki boyutu kayıt edildi.
Bulgular
PAİR ve standart kateterizasyon yöntemi ile tedavi edilen dokuz CE1 ,CE3a ve CE3b dalak kist hidatik hastasının verileri çalışmaya dahil edildi. Periprosedüral komplikasyon izlenmedi. Hastaların hastanede yatış süresi ortalama 1.67(±1.73) gün oldu. Tedavi öncesindeki ortalama kist boyutu 8.11(±3.55) cm olmuştur. Son takip kist boyutu 6.46 (±3.57) cm olup ilk boyutuna kıyasla anlamlı olarak boyut azalması oldu (p=0.050). Ortalama takip süresi 9.56 (±11.08) ay olmuştur. Takip süresince iki hastada nüks oldu. Sadece bir hastada ikinci nüks nedeni ile cerrahi tedavi ihtiyacı olmuştur.
Sonuç
Perkütan tedavi yöntemleri dalak kist hidatik tedavisinde etkin ve güvenli bir yöntemdir.

Anahtar Kelimeler

kist hidatik, dalak kist hidatik, PAİR, ekinokokuz granulosus

Kaynakça

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