This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Indications for and efficacy of splenectomy for haematological disorders. BJS 2013; 100: 794-800.
Published: 21st February 2013
Authors: K. A. Bickenbach, M. Gonen, D. M. Labow, V. Strong, M. L. Heaney, A. D. Zelenetz et al.
Background
Splenectomy is performed for a variety of indications in haematological disorders. This study was undertaken to analyse outcomes, and morbidity and mortality rates associated with this procedure.
Method
Patients undergoing splenectomy for the treatment or diagnosis of haematological disease were included. Indications for operation, preoperative risk, intraoperative variables and short‐term outcomes were evaluated.
Results
From January 1997 to December 2010, 381 patients underwent splenectomy for diagnosis or treatment of haematological disease. Some 288 operations were performed by an open approach, 83 laparoscopically, and there were ten conversions. Overall 136 patients (35·7 per cent) experienced complications. Postoperative morbidity was predicted by age more than 65 years (odds ratio (
Conclusion
Splenectomy is an effective procedure in the diagnosis and treatment of haematological disease in selected patients.
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