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Kinderchirurgie pp 537–553Cite as

Chirurgische Erkrankungen der Milz

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Zusammenfassung

Die Milz (Splen, Lien) ist ein Blutfilterorgan mit immunologischer Kompetenz. Asplene Kleinkinder sind im besonderen Maße infektgefährdet. Somit sind bei Milzverletzungen heute organerhaltende Therapieformen gefordert und stehen im Vordergrund. Weitere Aspekte der Milzchirurgie beinhalten heute die laparoskopischen Eingriffe, die Milzteilresektionen und die Autotransplantation (Drenckhahn u. Zenker 1994). Im Gegensatz zu den parenchymsparenden Eingriffen sind, bei bestimmten hämatologischen Erkrankungen, drastische Reduktionen bzw. auch die Entfernung des Milzparenchyms notwendig. Bei den hämatologisch indizierten Milzteilresektionen gilt es einerseits, immunologisch suffizientes Restparenchym zu erhalten, andererseits die anämisierende Filtrationsfunktion aufzuheben.

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  1. Kinderchirurgische Abteilung SMZ-Ost, Donauspital, Langobardenstraße 122, 1220 Wien, Österreich, Deutschland

    A. Rokitansky

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  1. Kinderchirurgische Klinik, Universitätsklinikum München Dr. von Haunersches Kinderspital, München, Germany

    Dietrich von Schweinitz

  2. Abt. Kinderchirurgie, Medizinische Hochschule Hannover (MHH) Kinderklinik, Hannover, Germany

    Benno Ure

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Rokitansky, A. (2013). Chirurgische Erkrankungen der Milz. In: von Schweinitz, D., Ure, B. (eds) Kinderchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29779-3_38

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