علاج الورم الطحالي الحميد في الكيسة الطحالية غير الطفيلية الأكبر من 5 سم أو العرضية

References

DOI: 10.1016/j.soda.2024.100127

• In our algorithm, we recommend partial splenectomy for splenic cysts larger than 5 cm or symptomatic cysts.
• If negative, although there is no evidence-based cut-off limit for the non-operative versus operative treatment, a non-operative management is generally accepted if the cyst is < 5 cm in size and surgery is recommended if it is > 5 cm, because of the increased risk of rupture or infection associated with bleeding, chemical peritonitis, and abscess formation.
• When possible, splenectomy must be partial to preserve splenic parenchyma and avoid long-term complications (mainly infections and portal system thrombosis).
• Marsupialization can be recommended for superficial splenic cysts, as it is safe and effective.