Splenectomy for recurrent hypersplenism after splenic arterial embolization
10.3760/cma.j.issn.1007-8118.2011.04.004
- VernacularTitle:脾动脉栓塞后脾亢复发再行脾切除术12例报告
- Author:
Huiming YAO
;
Songchun LU
- Publication Type:Journal Article
- Keywords:
Splenic arterial emholization;
Hypersplenism;
Splenectomy
- From:
Chinese Journal of Hepatobiliary Surgery
2011;17(4):283-284
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the Resultsof splenectomy for recurrent hypersplenism after splenic arterial embolization. MethodsA retrospective analysis was carried on 12 p1atients who underwent splenectomy for recurrent hypersplenism after splenic arterial embolization which had been carried out in 51 patients at this hospital from Jan. 2001 to Dec. 2008. ResultsSplenectomy was successfully carried out in all the 12 patients. The operative time ranged from 90 to 240 minutes. The mean blood transfusion was 810 ml. There was 1 case of pancreatic leakage after the operation, which healed with drainage for 4 weeks. One patient developed upper gastrointestinal hemorrhage 14 months after the operation, and he received a meso-caval shunt. Conclusion We should select patients carefully for splenic arterial embolization as splenectomy after splenic arterial embolization is difficult.
