Absceso esplénico: ¿drenaje percutáneo o esplenectomía?

Autores/as

  • Juan Camilo Correa Hospital Pablo Tobón Uribe
  • Carlos H. Morales Hospital Universitario San Vicente Fundación
  • Álvaro E. Sanabria Clínica Vida

DOI:

https://doi.org/10.30944/20117582.206

Palabras clave:

bazo, enfermedades del bazo, absceso, drenaje, esplenectomía, laparoscopía

Resumen

El absceso esplénico es una entidad poco común, su incidencia es de 0,2 a 0,7 %. El trabajo diagnóstico temprano y el tratamiento oportuno han permitido un mayor número de resultados exitosos. El tratamiento convencional ha sido la esplenectomía; sin embargo, por la importancia inmunológica del bazo y la morbimortalidad del tratamiento quirúrgico, hay una tendencia al tratamiento médico y de menor invasión. En este artículo se presenta una revisión narrativa del problema con base en la literatura médica con mayor ‘evidencia’, se discuten las diferentes alternativas de tratamiento y se concluye que el tratamiento debe individualizarse a cada paciente. El drenaje percutáneo es la primera línea de tratamiento; si este fracasa, debe considerarse la esplenectomía. Aunque con tiempos quirúrgicos más prolongados, la esplenectomía laparoscópica se asocia con una reducción significativa de la morbilidad posquirúrgica.

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Biografía del autor/a

Juan Camilo Correa, Hospital Pablo Tobón Uribe

Fellow, Cirugía Oncológica, Universidad de Toronto; cirujano general, Hospital Pablo Tobón Uribe, Medellín, Colombia

Carlos H. Morales, Hospital Universitario San Vicente Fundación

Profesor titular, Universidad de Antioquia; cirujano asistencial, Hospital Universitario San Vicente Fundación, Medellín, Colombia

Álvaro E. Sanabria , Clínica Vida

Profesor asociado, Universidad de Antioquia; cirujano de Cabeza y Cuello, Fundación Colombiana de Cancerología, Clínica Vida, Medellín, Colombia 

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Publicado

2016-01-01

Cómo citar

(1)
Correa, J. C. .; Morales, C. H. .; Sanabria , Álvaro E. . Absceso esplénico: ¿drenaje percutáneo O esplenectomía?. Rev Colomb Cir 2016, 31, 50-56.

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