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Management of nonparasitic splenic cysts in children: A French multicenter review of 100 cases

Xavier Delforge 1 Yann Chaussy 2 Paula Borrego 3, 4 Olivier Abbo 5 Frederique Sauvat 6 Quentin Ballouhey 7, 8 Sabine Irtan 9 Alexis Arnaud 10 Kassite Ibtissam Nicoleta Panait Gregory Rodesch Henri Steyaert Anne Schneider 11 Remi Dubois 12, 13 Sebastien Mesureur 14 Elodie Haraux 15, 14 Philippe Buisson 14
1 UPJV - Université de Picardie Jules Verne
2 UTC - Université de Technologie de Compiègne
3 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
4 UM - Université de Montpellier
5 CHU Toulouse [Toulouse]
6 CHU Necker - Enfants Malades [AP-HP]
7 MMNP - Maintenance Myélinique et Neuropathies Périphériques
8 Service de chirurgie pédiatrique viscérale, orthopédique et plastique [CHU Limoges]
9 Service de neurochirurgie pédiatrique [CHU Necker]
10 Hôpital Sud [CHU Rennes]
11 BB - Biomatériaux et Bioingénierie
12 IHU-LIRYC
13 CRCTB - Centre de recherche Cardio-Thoracique de Bordeaux [Bordeaux]
14 CHU Amiens-Picardie
15 PERITOX - Périnatalité et Risques Toxiques - UMR INERIS_I 1
Abstract : Background: Themanagement of nonparasitic splenic cysts (NPSC) remains controversial. Surgical resection is indicated for symptomatic or complicated forms, but no guidelines are available for asymptomatic NPSC. The aims of this study were to evaluate the management of NPSC in French hospitals and to analyze the results of management. Methods: We conducted a retrospective multicenter study from January 2004 to December 2014 in 16 university hospitals in France. Patients with a follow-up less than 6 months were excluded. Data were extracted from the medical reports. Results: One hundred patients were included. Median follow-upwas 12.8 months. No complications were observed for NPSC smaller than 5 cm. The size of NPSC increased significantly between the ages of 10 and 12 years. Fifteen patients were under observation; 58.3% of cysts decreased in size and 41.7% remained stable. Among the 85 operated patients, no recurrence occurred in the splenectomy group, while 11 recurrences were observed in the cystectomy group (57.9%), 3 of which required redo surgery. Conclusions: Observation is a safe treatment option for asymptomatic NPSC smaller than 5 cm. Surgery is indicated for symptomatic patients, and can be proposed for asymptomatic NPSC larger than 5 cm. Laparoscopic partial splenectomy is the technique of choice. Follow-up must be continued until the end of puberty. (C) 2017 Elsevier Inc. All rights reserved.
Keywords : Nonparasitic splenic cysts Partial splenectomy Splenectomy Cystectomy Children Laparoscopy
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Article dans une revue
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https://hal-u-picardie.archives-ouvertes.fr/hal-03554543
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Soumis le : jeudi 3 février 2022 - 11:51:11
Dernière modification le : samedi 26 mars 2022 - 04:25:57

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U-PICARDIE | PERITOX | UNIV-COMPIEGNE | UNILIM | UNIV-MONTPELLIER | GEIST | EA6309 | SITE-ALSACE | CNRS | INC-CNRS | NEURIT | OMEGAHEALTH

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Xavier Delforge, Yann Chaussy, Paula Borrego, Olivier Abbo, Frederique Sauvat, et al.. Management of nonparasitic splenic cysts in children: A French multicenter review of 100 cases. Journal of Pediatric Surgery, American Academy of Pediatrics, 2017, 52 (9), pp.1465-1470. ⟨10.1016/j.jpedsurg.2017.01.054⟩. ⟨hal-03554543⟩

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