Aim: Discuss the different modalities of surgical
treatment of splenic hydatid cyst and
outcomes after treatment. Patients and Methods: Retrospectively, 14 patients
were operated in our institution between 2002 and 2011. Results: A total
splenectomy was performed in 8 cases. A conservative treatment was preferred
in 6 cases: 2 patients underwent partiel splenctomy and two patients underwent
partial cystectomy. The duration of hospitalization ranged from 5 to 15 days. The morbidity rate was 14%. One patient
presented a recurrent hemorrhage and one patient developed a left
pneumonia. There is no death in our series. The mean duration follow-up was 20 months and there is no recurrence. Conclusion: Management of a splenic
hydatid cyst is not consensual. Surgery remains the treatment of choice to avoid serious complications. Total
splenectomy is optimal because it provides definitive treatment. However,
spleen-preserving surgery is the preferred treatment in some selected patients.
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