No abstract available.
Splenectomy*

No abstract available.
Splenectomy*

No abstract available.
Splenectomy* ; Thrombocytopenia*

Emergency splenectomy is the therapy of choice after trying to prevent bleeding by other methods. Without result in immune thrombocytopenic for operative in patient to reduce mortality and morbidity rate. It is now generally agreed that splenectomy is not only a valid alternative to medical treatment but is associated with a significantly higher rate of permanent remission.
Splenectomy ; Emergencies

Spleen plays important functions in the body. There were many indications for splenectomy, including spleen traumas, splenorenal shunt, vascular accident due to the spleen, splenic cyst, splenomegaly compressing other organs, congenital hemolytic anemia, acquired immunohematological diseases, hypersplenism leading to the peripheral blood cell deficiency. The major risk after splenectomy was severe infection. The hypersplenism was improved after splenectomy.
Splenectomy ; Child

Some major conditions that related to indication of splenectomy are 1. Rupture; 2. Abscess; 3. Tumors and cysts; 4. Artery aneurysm; 5. Displacement of spleen; 6. Bone marrow failure; 7. Faconi’s anemia; 8. Diamond-Blackfan’s anemia; 9. Gaucher’s disease; 10. Hemolytic anemia; 11. Essential trombocytopenia hemorrhage. 12. Felty syndrome; 13. Essential myelodysplasia; 14. Hairy leucocyte disease; 15. Hodgkin disease. Indications included splenectomy for diagnosis and for treatment and splenectomy for cases of spleen enlargement with spleen hyperactivity syndrome.
Splenectomy ; Learning

No abstract available.
Splenectomy* ; Splenomegaly*

Objective To investigate the clinical features of neutropenia after splenectomy in patients with hepatolenticular degeneration， also known as Wilson's disease （WD）， and related influencing factors. Methods The patients with WD who were hospitalized and underwent splenectomy from January 2018 to March 2023 were enrolled as subjects. The patients with an absolute neutrophil count of <1.7×109/L at 1 year after splenectomy were enrolled as observation group， and those with an absolute neutrophil count of ≥1.7×109/L were enrolled as control group. The two groups were compared in terms of the change in routine blood test results at 1 year after splenectomy， as well as the indicators such as general information，preoperative myelogram data， preoperative Child-Pugh score， preoperative spleen size， surgical procedures， and postoperative laboratory markers， and the influencing factors for the reduction in neutrophil count were analyzed. Results A total of 61 patients were included. At 1 year after splenectomy， both groups had significant increases in white blood cell count， neutrophil count， red blood cell count， and platelet count and a significant reduction in the percentage of neutrophils （P<0.05）. After surgery， 39.34%（24/61） of the patients still had a neutrophil count lower than the normal level. Before surgery， compared with the control group，the observation group had significantly higher Child-Pugh score， total bilirubin（TBIL），aspartate aminotransferase， and prothrombin time and a significantly lower level of albumin（ALB）（P<0.05）， and there was also a significant difference in the proportion of patients with ascites between the two groups（P<0.05）. The multivariate analysis showed that preoperative Child-Pugh score， TBIL， and ALB were independent influencing factors for neutropenia. Conclusion Splenectomy cannot completely correct neutrophil level in WD patients， which may be associated with the degree of liver damage.
Splenectomy ; Neutropenia

Cystic disease of the spleen is a relatively rare disease. It is classified either as a true primary cyst or as a secondary pseudocyst. Most splenic cysts are pseudocysts, which have non-epithelial lining, and are caused by previous abdominal blunt trauma. Conversely, primary splenic cysts have epithelial lining and are subdivided into parasitic and non-parasitic cyst. Non-parasitic primary splenic cyst is considered congenital and comprises about 10% of all splenic cysts. Total or partial splenectomy is the treatment of choice, but parasitic infection must be excluded prior to an operation. In this present report, we described a symptomatic, large primary non-parasitic splenic cyst, which was surgically treated with partial splenectomy.
Rare Diseases ; Spleen ; Splenectomy

From Aug-2000 to Aug-2003 at HCM City Blood Transfusion and Hematology hospital, 31 cases of endoscopic splenectomy were studied to evaluate the effect of this surgery to treat chronical immuno-thrombocytopenic purpurea once corticotherapy and immunosupressive therapy failed. Results showed that one year after splenectomy, 64,52 – 76,92%, and 2 years after, 50% of cases had had completely positive response. There was absolute failure in 38,7% of cases within 3 first months, but from the 4th month, there was no relapse case. A half number of patients with failed splenectomy had had quick response to corticotherapy more.The duration of treatment was short, endoscopic splenectomy was safe. There was no death. No case of blood transfusion was needed. There were no complications
Splenectomy ; Therapeutics ; Purpura, Thrombocytopenic