Splenectomy for Disease

  • Jameson L. Chassin

Abstract

Since the specific therapy for the group of diseases that require splenectomy is often in a state of flux and since some of the conditions are complicated by problems of coagulation, it is important that the indications and timing for surgery be worked out in close cooperation with an experienced hematologist. Splenectomy may be indicated for patients with hereditary anemias (spherocytosis, elliptocytosis, nonspherocytic hemolytic anemia), primary hypersplenism, and chronic idiopathic thrombocytopenic purpura. Patients with autoimmune hemolytic anemia, secondary hypersplenism, thalassemia, myelofibrosis, chronic lymphatic leukemia, and lymphoma also may benefit from splenectomy in selected situations. Until recently splenectomy was a routine part of the staging procedure for patients with Hodgkin’s disease, but this is no longer accepted.

Keywords

Splenic Artery Short Gastric Vessel Accessory Spleen Splenic Hilus Splenic Abscess 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Gordon DH, Schaffner D, Bennett JM et al. Postsplenectomy thrombocytosis: its association with mesenteric, portal, and/or renal thrombosis in patients with myeloproliferative disorders. Arch Surg 1978;113:713.PubMedCrossRefGoogle Scholar
  2. Levy J, Wasserman P, Pitha N. Presplenectomy transcatheter occlusion of the splenic artery. Arch Surg 1979;114:198.PubMedCrossRefGoogle Scholar
  3. Traetow WD, Fabri PJ, Carey LC. Changing indications for splenectomy. Arch Surg 1980;115:447.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

Personalised recommendations