Suggestion of grade judgment and selection of surgical methods for splenomegaly
10.19538/j.cjps.issn1005-2208.2019.03.02
- Author:
Kun-peng LIU
1
;
Yong MA
1
;
Hong-chi JIANG
1
Author Information
1. Department of General Surgery,the First Affiliated Hospital of Harbin Medical University Harbin 150001,China
- Publication Type:Journal Article
- Keywords:
spleen;
splenomegaly;
massive splenomegaly;
supramassive splenomegaly;
laparoscopic splenectomy
- From:
Chinese Journal of Practical Surgery
2019;39(03):200-202
- CountryChina
- Language:Chinese
-
Abstract:
Laparoscopic splenectomy(LS) is superior to open splenectomy(OS) because of advantages of minimal invasion,such as small trauma,rapid recovery,and short hospitalizing time,widely used in the resection of normalsized or moderately enlarged spleens. With the wide application of LS,the indications have been extended to the excision of massive spleens. However,there is still a tremendous controversy about the upper limit of splenic size which can be in accord with a requirement of LS and selection of surgical indications. Taking the issues into account,the authors recommended that the splenomegaly should be divided into“four degrees”rather than“three degrees”used today widely in order to guide the selection of appropriate surgical methods.
