Manterola Carlos, Claros Nataniel
Departamento de Cirugía, Centro de Estudios Morfológicos y Quirúrgicos, Universidad de La Frontera, Chile.
Servicio de Cirugía, Hospital Obrero N°1, La Paz, Bolivia.
Rev Chilena Infectol. 2021 Apr;38(2):205-211. doi: 10.4067/S0716-10182021000200205.
Splenic echinococcosis (SE) is usually an asymptomatic disease whose diagnosis is made incidentally.
To determine postoperative morbidity (POM) and recurrence in patients who underwent surgery for SE.
Case series with follow-up, of patients with SE operated on, consecutively, between 2000 and 2018. The outcome variables were POM and recurrence. Other variables of interest were diameter and location of the cyst, type of surgery, surgical time, hospital stay, and mortality. The patients were followed up clinically and with images for a minimum of 18 months. Descriptive statistics were used, with measures of central tendency and dispersion.
Twenty-six patients (53.8% men), with a median age of 41.5 years, underwent surgery in this period. The medians of cysts diameter, surgical time and hospital stay were 14.5 cm, 65 min, and 4.5 days respectively. POM was 11.5% (3 cases). There was no mortality. With a median follow-up of 94 months, a recurrence of 3.8% was verified.
Verified results, in terms of POM, mortality and recurrence are appropriate in comparison with those of series of similar size and follow-up.
脾包虫病（SE）通常是一种无症状疾病，其诊断多为偶然发现。
确定接受SE手术患者的术后发病率（POM）和复发情况。
对2000年至2018年间连续接受手术的SE患者进行随访病例系列研究。观察指标为POM和复发情况。其他感兴趣的变量包括囊肿直径、位置、手术类型、手术时间、住院时间和死亡率。对患者进行至少18个月的临床和影像学随访。采用描述性统计方法及集中趋势和离散度测量。
在此期间，26例患者（53.8%为男性）接受了手术，中位年龄为41.5岁。囊肿直径、手术时间和住院时间的中位数分别为14.5厘米、65分钟和4.5天。POM为11.5%（3例）。无死亡病例。中位随访94个月，复发率为3.8%。
与类似规模和随访的系列研究相比，在POM、死亡率和复发方面的验证结果是合适的。
