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Laparoscopic Management of Hydatid Cyst of Spleen
            Table 1: Case reports/series of isolated splenic hydatid cyst  without any perioperative spill or complications in presence
                              Number                           expertly of advance laparoscopy.
            Author       Year  of cases  Management
            Kumar et al. 2  2016   1  Laparoscopic splenectomy  Acknowledgments
            Vezakis et al. 9  2012   2  1 case, open splenectomy  The authors wish to thank Prof VK Kapoor, Professor and Unite
                                     1 case, laparoscopic splenectomy  Head of Department of Surgical Gastroenterology, Sanjay Gandhi
            Gharaibeh 5  2001   1    Lap splenectomy           Postgraduate Institute of Medical Science, Lucknow, India, for
            Malik et al. 8  2011   8  Open splenectomy         guiding them and for his moral support and motivation for them.
            Hepgül et al. 11  2010   1  Open splenectomy          The authors obtained consent from patients or close kin for the
            Karakaya 6   2007   2    Open splenectomy          images and other clinical information to be reported in the journal.
                                                               They understand that the names and initials will not be published
            Durgun et al. 7  2003 14  Open splenectomy         and due efforts will be made to conceal their identity, but anonymity
            Safioleas et al. 10  1997 10  Open splenectomy
                                                               cannot be guaranteed.

                                                               references
            cyst and demonstrating the daughter cyst. Histopathology     1.  Gupta A, Kakkar A, Chadda M, et al. A primary intra pelvic hydatid
            also helps in atypical cases. Management is mainly surgical   cyst presenting with foot drop and a gluteal swelling. Br J Bone Joint
                                      5
            with perioperative albendazole.  Open method is preferred   Surg 1998;808:1037–1038. DOI: 10.1302/0301-620X.80B6.8793.
            as there is a fear of dissemination and anaphylactic reaction     2.  Kumar P, Hasan A, Kumar M, et al. Isolated hydatid cyst of spleen: a
            following rupture. But there are few reports in the literature of   rare case with rare presentation. Int J Surg Case Rep 2016;28:279–281.
            laparoscopic approach because of its technical challenges and   DOI: 10.1016/j.ijscr.2016.10.018.
            risk of intraperitoneal rupture. In experienced hands, it is feasible     3.  Arikanoglu Z, Taskesen F, Gumus H, et al. Selecting surgical modality to
            and it provided all postoperative and cosmetic advantages   treat a splenic hydatid cyst: total splenectomy or spleen-saving surgery?
                                                                    J Gastrointest Surg 2012;16:1198–1193. DOI: 10.1007/s11605-012-1837-2.
            of laparoscopy. Table 1 showing case series and reports on     4.  Fernández-Ruiz M, Guerra-Vales JM, Enguita-Valls AB, et al. Splenic
            isolated splenic hydatid cyst and few among them were   hydatid cyst, a rare location of extrahepatic echinococcosis:
            managed laparoscopically. 6–11  Our patient was also managed   report of six cases. Eur J Intern Med 2008;19:51–53. DOI: 10.1016/j.
            laparoscopically and recovered early with early resumption of daily     ejim.2008.02.003.
            activities.                                          5.  Gharaibeh KI. Laparoscopic excision of splenic hydatid cyst. Postgrad
                                                                    Med J 2001;77:195–196. DOI: 10.1136/pmj.77.905.195.
                                                                 6.  Karakaya K. Primary hydatid cyst disease of the spleen; a rare entity:
            conclusion                                              report of two cases. Trakya Univ Fak Derg 2005;24:256–258. Available
            Splenic hydatid cyst is a rare entity and isolated involvement is   from: https://hdl.handle.net/20.500.12628/3159.
            rarest. It requires surgical management without causing spillage.      7.  Durgun V, Kapan S, Kapan M, et al. Primary splenic hydatidosis. Dig
            The laparoscopic approach has many advantages and it should be   Surg 2003;20:38–41. DOI: 10.1007/s12664-011-0104-x.
            preferred when expertise available.                  8.  Malik AA, ul Bari S, Younis M, et al. Primary splenic hydatidosis. Indian
                                                                    J Gastroenterol 2011;30:175–177. DOI: 10.1007/s12664-011-0104-x.
                                                                 9.  Vezakis A, Dellaportas D, Polymeneas G, et al. Two cases of primary
            clinicAl significAnce                                   splenic hydatid cyst in Greece. Korean J Parasitol 2012;50:147–150.
                                                                    DOI: 10.3347/kjp.2012.50.2.147.
            Here we are reporting a rare case of isolated splenic hydatid cyst,     10.  Safioleas M, Misiakos E, Manti C. Surgical treatment for splenic
            more importantly here we performed the surgery by laparoscopic   hydatidosis. World J Surg 1997;21:374–378. DOI:10.1007/PL00012256.
            method and shown excellent postoperative result, this showing     11.  Hepgül G, Tıhan D, Kocael P, et al. Case report: primary splenic
            the feasibly laparoscopic procedure even in splenic hydatid disease   hydatidosis. Turk Parazitolojii Derg 2010;34(3):184–186. PMID: 20954121.



























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