Study of the clinical efficacy and safety of spleen cysts surgical treatment

Introduction. The methods used to treat cysts, especially surgical, spleen, are currently characterized by insufficient effectiveness and safety.

The purpose of the study. Improve the results of surgical treatment of spleen cysts.

Materials and methods of research. Surgical treatment of 49 patients with spleen cysts was performed. They are divided into 2 groups: the first (n=23) – was carried out by standard methods; the second (n=26) – the proposed method was used in the treatment. In the main group, the method of treatment of spleen cysts proposed by us was used (resection of the free part of the cyst wall by laparoscopic access, sanitation of the cyst cavity, intersection of adhesions and the implementation of combined local exposure, including the use of electrothermically modified 3% polydocanol solution and performing tamponade of the cyst cavity). Research methods – clinical, including the determination of the severity of pain syndrome on a visual analog scale (VAS).

Treatment results. It was found that the developed method is characterized by better intraoperative than standard resection of spleen cysts (the duration of the proposed operation (67,3±8,5 min) and the volume of blood loss (135,8±19,3 ml) was lower than the standard (87,1±12,4 min and 192,3±24,2 ml)) indicators, lower severity of pain syndrome (pain in the main group was less than the comparison group on the 1st, 7th, 14th day by 33,7, 34,0 and 61,1 % (p<0,05) in the postoperative period and a significant decrease in the frequency of early complications. It also helps to reduce the duration of treatment of patients and is accompanied by a lower frequency of relapses and complications compared to the standard method.

Conclusion. The application of the developed approach to surgical treatment of spleen cysts is a clinically effective and safe method of treating this pathology.

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