title: Spleen-preserving surgery is effective for the treatment of spleen cystic echinococcosis.
abstract: OBJECTIVE
  This study evaluated two surgical procedures, total splenectomy and spleen-preserving surgery, for the treatment of spleen cystic echinococcosis (CE).
  
  
  METHODS
  A total of 21 patients who underwent surgery for removal of spleen CE were evaluated retrospectively. Patients were divided into two groups, those who received a total splenectomy (n=7) and those who underwent spleen-preserving surgery (n=14).
  
  
  RESULTS
  Total splenectomy surgery took 127.1±11.1min and spleen-preserving surgery took 104.3±25.3min (p<0.05). The length of hospital stay was the same for both patient groups (10.6 days on average). No patient suffered from recurrence during follow-up and all of the patients made a good recovery. No patient developed post-splenectomy sepsis or serious infectious complications. No patient suffered recurrence.
  
  
  CONCLUSIONS
  The spleen-saving approach is likely an effective method for the removal of CE spleen cysts given that it is a quick procedure and preserves the function of the spleen. Total splenectomy procedures may be performed particularly for larger, centrally located cysts.
authors.affiliation: Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Ran
authors.affiliation: Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, China.
authors.forename: Yingmei
authors.initials: Y
authors.lastname: Shao
authors.affiliation: Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, China.
authors.forename: Yusfu
authors.initials: Y
authors.lastname: Yimiti
authors.affiliation: Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, China.
authors.forename: Tuerganaili
authors.initials: T
authors.lastname: Aji
authors.affiliation: Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, China.
authors.forename: Paizula
authors.initials: P
authors.lastname: Shayiding
authors.affiliation: Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, China.
authors.forename: Tieming
authors.initials: T
authors.lastname: Jiang
authors.affiliation: Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, China.
authors.forename: Haitao
authors.initials: H
authors.lastname: Li
authors.affiliation: Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, China; Clinical Medical Research Institute, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Li
authors.affiliation: Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, China; Clinical Medical Research Institute, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China. Electronic address: wenbaozhang2013@163.com.
authors.forename: Wenbao
authors.initials: W
authors.lastname: Zhang
authors.affiliation: Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830011, China. Electronic address: dr.wenhao@163.com.
authors.forename: Hao
authors.initials: H
authors.lastname: Wen
mesh_terms: D000328:Adult; D004443:Echinococcosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013154:Spleen / Q000601:surgery; D013156:Splenectomy; D013158:Splenic Diseases / Q000601:surgery*; D055815:Young Adult
keywords: Echinococcosis; Hydatid disease; Spleen; Splenectomy