目的：囊性囊肿（HC）很少主要发生在脾脏中。部分脾切除术（PS）是保留脾实质的既定程序，但很少用于治疗HC。我们旨在介绍我们在PS治疗HC的经验，并回顾PS治疗脾HC的文献。材料和方法：回顾性审查了2000年至2023年在Fundeni临床研究所（布加勒斯特）普外科为HC进行的PS数据库。搜索PubMed,Medline,和谷歌学者数据库的关键词，如“部分脾切除术”，“脾包虫囊肿”等，我们检索了2000年至2023年12月的英文出版物进行文献综述.我们排除了未以英文发表的研究和未提供有关PS治疗脾HC的准确或具体数据的研究。结果:HC有10PS。六女四男,年龄在16至41岁之间（31-8.43），9，上脾极（UP）中的HC由PS处理，下极（LP）保存，一个下极HC由LPPS处理。有4个开放的，2个腹腔镜和4个机器人PS。随访2年无并发症或复发。文献综述由14篇全文组成，为HC提供42PS。
结论：HC的PS是可行的，实现囊肿的完全切除，同时保留脾功能。该程序可以通过腹腔镜或机器人进行，具有微创手术的优点。
OBJECTIVE: Hydatic cysts (HC) rarely occur primarily in the spleen. Partial splenectomy (PS) is an established procedure for preserving spleen parenchyma, but rarely used in the treatment of HC. We aim to present our experience with PS for HC and to review the literature of splenic HC treated by PS. Material and Methods: The databases of PS performed between 2000 and 2023 in the Department of General Surgery of Fundeni Clinical Institute (Bucharest) for HC have been reviewed retrospectively. Searching the PubMed, Medline, and Google Scholar databases for keywords such as \"partial splenectomy\", \"splenic hydatid cyst\" etc, we retrieved publications from 2000 to December 2023 in English for a literature review. We excluded studies which were not published in English and studies which did not provide accurate or specific data regarding the treatment of splenic HC by PS. Results: There were 10 PS for HC. Six females and 4 males, ages between 16 and 41 (31Ã+-8.43), 9 with HC in the upper splenic pole (UP) treated by PS with lower pole (LP) preservation and one inferior pole HC treated by LP PS. There were 4 open, 2 laparoscopic and 4 robotic PS. There were no complications or recurrences at follow up (2 years). The literature review consists of 14 full-text articles, presenting 42 PS for HC.
CONCLUSIONS: PS for HC is feasible, achieves complete removal of the cyst, while preserving splenic function. The procedure can be performed laparoscopically or robotically with the advantages of minimally invasive surgery.
