Is scalping the spleen enough? Laparoscopic splenic cyst unroofing and recurrence rates

Abstract

With interest we read the recent article by Schier et al [ [1] Schier F. Waag K. Ure B. Laparoscopic unroofing of splenic cysts results in a high rate of recurrences. J Pediatr Surg. 2007; 42: 1860-1863 Abstract Full Text Full Text PDF PubMed Scopus (46) Google Scholar ] questioning the efficacy and appropriateness of treating benign splenic cysts with laparoscopic unroofing. They cite a high recurrence rate for this surgical approach and note that most of their patients underwent 2 successive operations. In contrast, our institutional experience with laparoscopic splenic cyst unroofing has been much more favorable. After appropriate institutional review board approval, we reviewed all available cases at Children's Hospital Boston (Boston, MA) for an 8-year period. We included the use of long-term telephone follow-up. Peritumoral brain edema in benign meningiomas: correlation with clinical, radiologic, and surgical factors and possible role on recurrenceSurgical NeurologyVol. 70Issue 5PreviewApproximately 60% of meningiomas are associated with peritumoral edema. Various causative factors have been discussed in the literature. The objective of this study was to investigate the correlation of PTBE with clinical, radiologic, and surgical aspects and recurrence of meningiomas. Full-Text PDF