Elective Subtotal Splenectomy

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Subtotal splenectomy for splenomegaly in cirrhotic patients.

BACKGROUND In recent years, the spleen has become to be recognized as the "control center" of the immune-metabolic-endocrine network. However, It is controversial that splenomegaly due to portal hypertension is treated by subtotal splenectomy. The aim of this study was to evaluate the distribution of fibrous tissue, morphology of cells as well as splenic size, hemodynamics, hematological and im...

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Evaluation of emergent and elective splenectomy cases

Background: Emergent and elective splenectomies have an important place in practice. In this study, we aimed to emphasize the importance of splenectomy in modern surgery and investigate our cases retrospectively. Methods and Findings: Patients who were treated by splenectomy in our clinic between October 2008May 2012 were grouped into four different groups: cases who have additional injuries in...

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Late postoperative follow-up of patients undergoing subtotal splenectomy.

PURPOSE Over the past 21 years, we have performed more than 200 subtotal splenectomies, in which the upper splenic pole vascularized only by the gastrosplenic pole vascularized only by the gastrosplenic vessels is preserved, to treat different pathologic conditions. A meticulous follow-up of the postoperative results of this procedure is of fundamental importance. METHODS All patients undergo...

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[Elective splenectomy in adults - preparation, operation, and postoperative treatment].

Elective splenectomy in adults is often performed after failure of conservative treatment in patients with hematologic, neoplastic, or autoimmune disorders. The indication to perform a splenectomy should be discussed in an interdisciplinary team and the surgeon should not make the decision on his own. Laparoscopic splenectomy is nowadays established as the gold-standard treatment due to low mor...

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Elective laparoscopic splenectomy for giant hemangioma: a case report

Although unusual, hemangioma is the most common primary splenic neoplasm. Splenectomy is indicated when the tumor is large, with increased risk of hemorrhage. The laparoscopic approach is preferred for most elective splenectomies. Although technically feasible, laparoscopic splenectomy can be a challenge in the patient with splenomegaly. We present herein a case of an 18-year-old male asymptoma...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1990

ISSN: 0003-4932

DOI: 10.1097/00000658-199001000-00006