Surgical treatment possibilities of splenic neoplasms - literature review.

نویسندگان

  • Michał Kazanowski
  • Christopher Kobierzycki
چکیده

The spleen is an odd organ of the abdominal cavity located in the left epigastrium. In adult patients the size of the spleen may reach 11cm, weighing between 150 and 200g, being dependent of the blood supply. Its long axis under anatomical conditions runs along the tenth rib with the following organs in its vicinity: the stomach, left kidney, and pancreatic tail. It is limited by the diaphragm and colon. Vascularization is derived from the largest branch of the celiac trunk-the splenic artery, which supplies the organ by means of the hilum. The spleen is stabilized by the following three ligaments: gastrosplenic, phrenicosplenic, and phrenicocolic, as well as the splenic capsule consisting of collagen and elastic fibers, and smooth muscle cells. An accessory spleen is diagnosed in nearly 20% of patients, mostly located in the vicinity of the main spleen (54%), as well as on the major curvature of the stomach (25%), greater omentum (12%), pancreatic tail (6%), and splenocolic ligament (2%) (1). Considering the structure and function of the spleen the above-mentioned exists as two organs. The white splenic pulp, which consists of periarterial lymphatic sheaths and germinal centers acts as an immunological organ. The red splenic pulp consisting of macrophages and granulocytes acts as a phagocytosis organ.

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عنوان ژورنال:
  • Polski przeglad chirurgiczny

دوره 84 4  شماره 

صفحات  -

تاریخ انتشار 2012