Difficult splenectomy in 126 cases
10.3760/cma.j.issn.1007-631X.2013.08.008
- VernacularTitle:复杂性脾切除126例
- Author:
Guangwen ZHOU
- Publication Type:Journal Article
- Keywords:
Splenic diseases;
Splenectomy;
Hypertension,portal;
Hemic and lymphatic diseases
- From:
Chinese Journal of General Surgery
2013;28(8):590-592
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the operative safety of difficult splenectomy.Methods The clinical data of 126 splenectomy cases from January 2005 to December 2011 were analyzed retrospectively.Results All patients were cured and discharged.There was no mortality and pancreatic leakage,no gastric and colonic injury.The postoperative complications occurred in 14 patients including intra-abdominal hemorrhage in 5 cases,pulmonary complications in 7 cases (left pleural effusion and left subphrenic abscess),splenic venous thrombophlebitis in 11 cases and massive ascites in 10 patients.After splenectomy splenic and portal vein thrombi rate in HBV-related cirrhosis was 7％ (6/84) and that was 50％ (6/12) in schistosoma-related cirrhosis (t =13.4,P ＜ 0.01).Conclusions Careful evaluation before operation,skillful technique during operation are determinants for the safety of complex splenectomy.
