Chirurgia (Bucur). 2024 Aug;119(4):385-392. doi: 10.21614/chirurgia.3010.
Hydatic cysts (HC) rarely occur primarily in the spleen. Partial splenectomy (PS) is an established procedure for preserving spleen parenchyma, but rarely used in the treatment of HC. We aim to present our experience with PS for HC and to review the literature of splenic HC treated by PS. Material and The databases of PS performed between 2000 and 2023 in the Department of General Surgery of Fundeni Clinical Institute (Bucharest) for HC have been reviewed retrospectively. Searching the PubMed, Medline, and Google Scholar databases for keywords such as "partial splenectomy", "splenic hydatid cyst" etc, we retrieved publications from 2000 to December 2023 in English for a literature review. We excluded studies which were not published in English and studies which did not provide accurate or specific data regarding the treatment of splenic HC by PS. There were 10 PS for HC. Six females and 4 males, ages between 16 and 41 (31Ã+-8.43), 9 with HC in the upper splenic pole (UP) treated by PS with lower pole (LP) preservation and one inferior pole HC treated by LP PS. There were 4 open, 2 laparoscopic and 4 robotic PS. There were no complications or recurrences at follow up (2 years). The literature review consists of 14 full-text articles, presenting 42 PS for HC.
PS for HC is feasible, achieves complete removal of the cyst, while preserving splenic function. The procedure can be performed laparoscopically or robotically with the advantages of minimally invasive surgery.
包虫囊肿（HC）很少原发于脾脏。脾部分切除术（PS）是保留脾脏实质的一种既定手术方法，但在 HC 的治疗中很少使用。我们旨在介绍我们在 PS 治疗 HC 方面的经验，并回顾 PS 治疗脾 HC 的文献。
回顾性分析 2000 年至 2023 年期间在布加勒斯特 Fundeni 临床研究所普外科进行的 PS 数据库。通过在 PubMed、Medline 和 Google Scholar 数据库中搜索“脾部分切除术”、“脾包虫囊肿”等关键词，检索了 2000 年至 2023 年 12 月以英文发表的文献综述。我们排除了未以英文发表的研究和未提供关于 PS 治疗脾 HC 的准确或具体数据的研究。
共有 10 例 HC 行 PS。女性 6 例，男性 4 例，年龄 16-41 岁（31±8.43），9 例位于脾上极（UP）的 HC 行 PS 并保留下极（LP），1 例位于脾下极的 HC 行 LP PS。开放手术 4 例，腹腔镜手术 2 例，机器人手术 4 例。随访无并发症或复发（2 年）。文献综述包括 14 篇全文文章，共介绍了 42 例 HC 行 PS。
PS 治疗 HC 是可行的，可彻底切除囊肿，同时保留脾脏功能。该手术可通过腹腔镜或机器人进行，具有微创外科的优势。
