Total Resection Of Cyst Research Articles

Comment on - "Pineal cysts without hydrocephalus: microsurgical resection via an infratentorial-supracerebellar approach-surgical strategies, complications, and their avoidance".

Pineal cysts without hydrocephalus present a clinical dilemma, as surgical indications remain controversial. This study evaluates 73 patients who underwent microsurgical resection of pineal cysts via an infratentorial-supracerebellar (SCIT) approach, focusing on surgical strategies, complications, and outcomes. With a follow-up period averaging 26.6 months, 89% of patients reported significant symptom improvement, particularly in headache, visual disturbances, and dizziness. Total cyst resection was achieved in 95% of cases, with minimal complications. The findings suggest that microsurgical resection can provide marked relief in carefully selected patients, even in the absence of ventriculomegaly. Future studies should focus on randomized comparisons between surgical and conservative approaches and explore long-term outcomes.

Use of a Dorsal Digital Perforator Flap after Total Cyst Resection, Osteophyte Resection, and Synovia Intraarticular Curettage in the Treatment of a Large Mucous Cyst

Use of a Dorsal Digital Perforator Flap after Total Cyst Resection, Osteophyte Resection, and Synovia Intraarticular Curettage in the Treatment of a Large Mucous Cyst

Surgical outcome and prognostic factors for 39 recurrent spinal hydatid cysts.

Cystic bone echinococcosis accounts for 0.5-4% of all reported cases, and 45% occur in the spine. Our aim was to review the clinical and radiological features, surgery, and outcomes for 39 patients with recurrent spinal hydatidosis. Thirty-nine reports of patients with recurrent spinal hydatidosis (2011-2020) were followed for an average of 9.28 ± 5.60 months. Lesions occurred in descending order in the; lumbar (48.7%), thoracic (43.6%), and cervical spine (7.7%). Total cyst resection was achieved in 28 of 39 patients (71.8%). Intraoperative cyst rupture occurred in 13 patients (33.3%). The postoperative American Spinal Injury Association (ASIA) score was "good" in 82% of patients. Those with "poor" postoperative ASIA scores had a 41% incidence of recurrent thoracic hydatid cysts; further, they demonstrated significantly higher recurrence rates if cysts had ruptured intraoperatively (P = 0.001). In addition, laminectomy, subtotal original cyst resection (P < 0.007), and a thoracic location were all significantly associated with higher recurrence rates (P < 0.04). The majority of patients demonstrated improvement following surgery for cervical hydatid cysts. Notably, those with poor outcomes typically experienced intraoperative ruptures of their thoracic hydatid cysts, contributing to high cyst recurrence rates.

Total Resection of Intraorbital Hydatid Cyst by Using Lynch Approach: A Case Report.

Hydatidosis is a chronic zoonotic infection of humans caused by the infestation of larvae of the tapeworm Echinococcus granulosus. All parts of the body can be infected, especially the liver and lungs. Intraorbital hydatid cyst (HC) is a rare entity and accounts for less than 1% of all hydatid cysts. Total resection of the cyst can be very challenging due to the limited area within the orbit and the severe adhesion to adjacent structures. Several surgical approaches have been described in the literature depending on the size and location of the cyst. We reported a case of retrobulbar HC in a 10-year-old boy which was completely resected using the Lynch approach. Our case should be the second reported case from Syria and the first case that used the Lynch approach in the literature.

Quiste de colédoco Todani Iva. Reporte de caso y revisión de la literatura

Biliary tree dilations are unusual congenital malformations that may involve the entire bile circulation and, they are common during the first life decade. Most cases initiate with jaundice and chronic abdominal pain which localizes in right upper quadrant. High clinical suspicion accompanied by imaging studies are essential for diagnosisHigh suggestive clinic associated with imaging studies are essential for diagnosis. Treatment has evolved until today complete cyst resection has become the treatment of choice, since it presents a good response, although without being free from long-term complicationsTreatment has been evolving being at the present time cyst complete resection the gold standard in treatment although without being exempt from long-term complications. We present the case of a 27-year-old male patient with a history of 3 months onset epigastric abdominal pain diagnosed as Todani IVa common bile duct choledochal cyst by magnetic resonance imaging. It is performed Open surgical management was performed with total resection of the cyst and biliodigestive Roux-en-Y diversiona total cyst resection with Roux-en-Y biliodigestive bypass by open surgical approach without any complications. He was discharged 7 days post-op. A review of the literatura focused on the surgical approach and management of similar cases was carried out. We carry out bibliography review focused on surgical approach and management of similar cases. Keywords: Bile duct dilation; choledochal cyst; Todani IVa; jaundice.

Total cyst excision with Roux-en-Y hepaticojejunostomy for choledochal cyst management: a single-center experience

Background Choledochal cystis considered as a cystic dilatation of the biliary tract, which is a rare disease. It is more common in children, but its incidence and diagnosis are increasing in adults, representing 20% of the cases. Aim To evaluate morbidity and mortality rates following hepaticojejunostomy done for patients, either child or adult, with choledochal cyst. Patients and methods A total of 30 patients were evaluated, comprising 13 children and 17 adults. The study was done in the period from January 2013 till January 2020, in the Advanced Hepato-Pancreatico-Biliary Center, Zagazig University Hospital, Egypt. Results Abdominal pain was the commonest complaint in all patients. Jaundice was present in 80%. Total cyst resection with reconstruction of the biliary tract with a standard 60–60 cm Roux-en-Y hepaticojejunostomy was done in 28 (93.33%) patients. Left hepatectomy was done in two patients with Caroli’s disease. There was no recurrence in our follow-up period. Conclusion Total cyst excision with Roux-en-Y hepaticojejunostomy is the standard treatment of choledochal cyst. It was associated with low incidence of recurrence and also decreased long-term postoperative complications and malignancy.

Long-Term Results After Endoscopic Resection of Colloid Cysts

Endoscopic resection of colloid cysts is a widely accepted treatment option instead of microsurgery. However, there is still a debate about a potentially higher rate of incomplete resections and recurrence. The aim of this retrospective study was to evaluate long-term results after endoscopic removal of colloid cysts. Twenty patients underwent endoscopic treatment in our department. Eighteen patients agreed to follow-up examinations. In 17 patients, magnetic resonance images were obtained. Total cyst resection was achieved in 16 procedures. In 1 patient, only plexus coagulation and widening of the ipsilateral foramen of Monro were performed. In 3 patients, small remnants of the cyst membrane were left behind. Conversion to microsurgery became necessary in 1 patient. Mild temporary complications occurred in 6 patients. Preoperative symptoms were completely relieved in 16 patients and improved in 2 patients. The average follow-up period was 188 months. In the patient with plexus coagulation, the cyst did not change. Recurrence occurred in 2 of 3 patients with cyst remnants. To date, no cyst remnant or recurrence has caused any symptoms or required surgical treatment. Our results indicate that endoscopic treatment of colloid cysts is a safe and effective treatment option that provides excellent long-term results. However, we determined that a significant risk for recurrence exists when even small parts of the cyst capsule were left behind. Therefore, we advocate an attempt at total endoscopic cyst resection.

Thoracolumbar Spinal Extradural Arachnoid Cysts

To the Editor: The article by Funao et al1 was interesting and informative. The authors describe their experience with treating thoracolumbar spinal extradural arachnoid cysts (SEAC) in 12 patients. Seven patients underwent laminectomies and total cyst resection and closure of the dural defect, and 5 patients underwent selective laminectomy at the preoperative identified communication site. In the latter group, the cyst wall was violated dorsally following which an endoscope was introduced confirming the location of the dural communication which was then sutured. Neurological outcome was excellent in both groups and there was no difference in postoperative neurological recovery between the 2 surgical procedures. The only difference was a greater increase in the postoperative kyphotic angle in patients treated with laminectomy and total cyst resection, with a 9.7° change vs a 2.2° change in the laminotomy group. All 12 patients had neurological complaints with lower extremity numbness being the most common. Some of the patients also had associated back pain. The question arises whether or not to treat patients who present solely with back pain as it seems to be challenging to ascribe the extradural cyst as the pain generator. As the authors state the benefits of myelography in diagnosing SEAC was first described in 19622 by the past Chair of Neurosurgery at the University of Iowa in 1962, George Perret. Even with myelography identifying the site of the dural defect can be elusive, hence misguiding the placement of the laminotomy. Collapsing the cyst wall with the introduction of the endoscope might also impair visualization and identification of the dural defect. In these instances a laminectomy and exploration with proper identification of the dural defect is appropriate. Lastly, we have been treating these cysts with total resection and dural ligation through multilevel laminoplasty. This is an alternative method to a laminectomy with a lower risk of postoperative kyphosis and deformity. We also have observed that the incidence of postoperative cerebrospinal fluid leak is lesser with laminoplasty in intradural spine operations compared to laminectomy. Laminoplasty is an acceptable, and can be an attractive option for excision of the cyst, and ligation of the defect when the latter is not clearly identifiable. We congratulate the authors on this well written and informative article. Disclosure The content of this article has not been published elsewhere in any form. There are no financial disclosures and no conflicts of interest for any of the listed authors of this article.

Kyste hydatique de la thyroïde

Introduction Primary hydatid cyst of thyroid gland is an exceptional localization. The thyroid gland is an uncommon site even in Morocco where echinococcal disease is endemic. The aim of this study was to report our experience of this rare disease, and to review diagnosis problems and management. Patients and method Retrospective study of six patients with primary hydatid cyst of thyroid gland during a 4-year period. Results We report six cases of primary hydatid cyst of thyroid gland. Symptoms were isolated thyroid nodules. Diagnosis was based on echography and echinococcal immunologic test. However, hydatic origin was suspected in only 50% of patients preoperatively and immunologic test had 33% false positive rate. Surgical management was a lobo-isthmectomy with a total resection of the cyst in four cases (67%) and a resection of the cyst prominent dome in two cases (33%). Diagnosis was always confirmed by macroscopic aspects and pathology. In all cases, the postoperative course was uneventful and no recurrence occurred with a 19 months follow up. Conclusion Primary hydatid cyst of thyroid gland is a potential but rare situation. Positive diagnosis can be difficult during preoperative period. Cyst size and diagnosis doubt are two crucial criteria to decide the optimal surgical strategy (lobo-isthmectomy with total cyst resection vs resection of the cyst prominent dome).