Skip to main content

Open Splenectomy

  • Chapter

Abstract

Andriano Zaccarello performed the first splenectomy on a Neapolitan woman with massive splenomegaly in 1549 [1]. The colorful history of this operation is described in the first chapter of this volume.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ellis H (1988) The spleen. In: Landes C (ed) Clio chirurgica. Silvergirl, Austin, p 1

    Google Scholar 

  2. Coon WW (1991) The spleen and splenectomy. Surg Gynecol Obstet 173:407–414

    PubMed  CAS  Google Scholar 

  3. Johnson HA, Deterling RA (1989) Massive splenomegaly. Surg Gynecol Obstet 168:131–137

    PubMed  CAS  Google Scholar 

  4. Lehne G, Hannisdal E, Langholm R, Nome O (1994) A 10-year experience with splenectomy in patients with malignant non-Hodgkin’s lymphoma at Norwegian Radium Hospital. Cancer 74:933–939

    Article  PubMed  CAS  Google Scholar 

  5. Ellis LD, Dameshek HL (1975) The dilemma of hypersplenism. Surg Clin N Am 55:277–285

    PubMed  CAS  Google Scholar 

  6. Musser G, Lazar G, Hocking W, Busuttil RW (1984) Splenectomy for hematologic disease - the UCLA experience with 306 patients. Ann Surg 200:40–45

    Article  PubMed  CAS  Google Scholar 

  7. Danforth DN, Fraker DL (1991) Splenectomy for the massively enlarged spleen. Am Surgeon 57:108–113

    PubMed  Google Scholar 

  8. Haynes BF (1994) Enlargement of lymph nodes and spleen. In: Isselbacher KJ, Braunwald E, Wilson JD, Martin JB, Fauci AS, Kasper DL (eds) Harrison’s principles of internal medicine, 13th edn. McGraw-Hill, New York, p 232

    Google Scholar 

  9. Cronin CC, Brady MP, Murphy C, Kenny E, Whelton MJ, Hardiman C (1994) Splenectomy in patients with undiagnosed splenomegaly. Postgrad Med J 70:288–291

    Article  PubMed  CAS  Google Scholar 

  10. Schwartz SI (1981) Splenectomy for hematologic disease. Surg Clin N Am 61:117–125

    PubMed  CAS  Google Scholar 

  11. Rutherford EJ, Livengood J, Higginbotham M, Miles WS, Koestner J, Edwards KM, Sharp KW, Morris JA (1995) Efficacy and safety of pneumococcal revaccination after splenectomy for trauma. J Trauma 39:448–452

    Article  PubMed  CAS  Google Scholar 

  12. Lane PA (1995) The spleen in children. Curr Opin Pediatr 7:36–41

    Article  PubMed  CAS  Google Scholar 

  13. Morgenstern L (1971) Splenectomy for massive splenomegaly due to myeloid metaplasia. Am J Surg 122:288–293

    Article  PubMed  CAS  Google Scholar 

  14. Ellison EC, Fabri PJ (1983) Complications of splenectomy - etiology, prevention, and management. Surg Clin N Am 63:1311–1330

    Google Scholar 

  15. Patchen HL, Hofstetter SR, Spencer FC (1981) Evolving concepts of splenic surgery: splenorrhaphy versus splenectomy and post splenectomy drainage. Ann Surg 194:262–267

    Article  Google Scholar 

  16. Schwartz SI, Adams JT, Bauman AW (1971) Splenectomy for hematologic disorders. Curr Prob Surg 5:1–57

    Google Scholar 

  17. Miyazaki M, Itoh H, Kaiho T, Ohtawa S, Ambiru S, Hayashi S, Nakajima N, Oh H, Asai T, Iseki T (1994) Partial splenic embolization for the treatment of chronic idiopathic thrombocytopenic purpura. Am J Roentgenol 163:123–126

    CAS  Google Scholar 

  18. Nakamura H, Ohishi A, Asano K, Hirose H, Hayakawa M, Iwai F, Kageyama T, Katsu M (1994) Partial splenic embolization for Felty’s syndrome: a 10-year followup. J Rheumatol 21:1964–1966

    PubMed  CAS  Google Scholar 

  19. Sangro B, Bilbao I, Herrero I, Corella C, Longo J, Beloqui O, Ruiz J, Zozaya JM, Quiroga J, Prieto J (1993) Partial splenic embolization for the treatment of hypersplenism in cirrhosis. Hepatology 18:309–314

    Article  PubMed  CAS  Google Scholar 

  20. Israel DM, Hassal E, Gordon Culham JA, Phillips RR (1994) Partial splenic embolization in children with hypersplenism. J Pediatr 124:95–100

    Article  PubMed  CAS  Google Scholar 

  21. Spigos DG, Tan WS, Mozes MF, Pringle K, Iossifides I (1980) Splenic embolization. Cardiovasc Intervent Radiol 3:282–288

    Article  PubMed  CAS  Google Scholar 

  22. Hocking WG, Machleder HI, Golde DW (1980) Splenic artery embolization prior to splenectomy in end-stage polycythemia vera. Am J Hematol 8:123–127

    Article  PubMed  CAS  Google Scholar 

  23. Spray regen S (1986) Vascular interventional radiology of the spleen. Contemp Surg 29:26–32

    Google Scholar 

  24. Hiatt JR, Gomes AS, Machleder HI (1990) Massive splenomegaly - superior results with a combined endovascular and operative approach. Arch Surg 125:1363–1367

    PubMed  CAS  Google Scholar 

  25. Fujitani RM, Johs SM, Cobb SR, Mehringer CM, White RA, Klein SR (1988) Preoperative splenic artery occlusion as an adjunct for high risk splenectomy. Am Surgeon 54:602–608

    PubMed  CAS  Google Scholar 

  26. Hickman MP, Lucas D, Novak Z, Rao B, Gold RE, Parvey L, Tonkin IL, Hansen DE (1992) Preoperative embolization of the spleen in children with hypersplenism. J Vase Intervent Radiol 3:647–652

    Article  CAS  Google Scholar 

  27. Farid H, O’Connell TX (1996) Surgical management of massive splenomegaly. Am Surg (in press)

    Google Scholar 

  28. MacRae HM, Yakimets WW, Reynolds T (1992) Perioperative complications of splenectomy for hematologic disease. Can J Surg 35:432–436

    PubMed  CAS  Google Scholar 

  29. Horowitz J, Smith JL, Weber TK, Rodrigues-Bigas MA, Petrelli N (1996) Postoperative complications after splenectomy for hematologic malignancies. Ann Surg 223:290–296

    Article  PubMed  CAS  Google Scholar 

  30. Goldstone J (1978) Splenectomy for massive splenomegaly. Am J Surg 135:385–388

    Article  PubMed  CAS  Google Scholar 

  31. Wobbes T, van der Sluis RF, Lubbers EC (1984) Removal of the massive spleen: a surgical risk? Am J Surg 147:800–802

    Article  PubMed  CAS  Google Scholar 

  32. Bickerstaff KI, Morris PJ (1987) Splenectomy for massive splenomegaly. Br J Surg 74:346–349

    Article  PubMed  CAS  Google Scholar 

  33. Bryant T (1866) Case of excision of the spleen from an enlargement of the organ attended with leukocythemia. Guys Hosp Rep 12:444–455

    Google Scholar 

  34. Jacobs P, Wood L, Dent DM (1992) Splenectomy in the chronic myeloproliferative syndromes. S Afr Med J 81:499–503

    PubMed  CAS  Google Scholar 

  35. Letoquart J-P, La Gamma A, Kunin N, Grosbois B, Mambrini A, Leblay R (1993) Splenectomy for splenomegaly exceeding 1000 grams: analysis of 47 patients. Br J Surg 80:334–335

    Article  PubMed  CAS  Google Scholar 

  36. Gordon DH, Schaffner D, Bennet JM, Schwartz SI (1978) Postsplenectomy thrombocytosis - its association with mesenteric, portal, and/or renal vein thrombosis in patients with myeloproliferative disorders. Arch Surg 113:713–715

    PubMed  CAS  Google Scholar 

  37. Bell WR, Meek AG (1979) Guidelines for the use of thrombolytic agents. New Engl J Med 301:1266–1270

    Article  PubMed  CAS  Google Scholar 

  38. Francke EL, Neu HC (1981) Postsplenectomy infection. Surg Clin N Am 64:135–155

    Google Scholar 

  39. Cerise EJ, Pierce WA, Diamond DC (1970) Abdominal drains: their role as a source of abdominal infection following splenectomy. Ann Surg 171:764–769

    Article  PubMed  CAS  Google Scholar 

  40. Cohn LH (1965) Local infection after splenectomy. Arch Surg 90:230–235

    PubMed  CAS  Google Scholar 

  41. Marble KR, Deckers PJ, Kern KA (1993) Changing role of splenectomy for hematologic disease. J Surg One 52:169–171

    Article  CAS  Google Scholar 

  42. Wang SM, Wilson SE (1977) Subphrenic abscess: the new epidemiology. Arch Surg 112:934–936

    PubMed  CAS  Google Scholar 

  43. Krsnik I, Perez-Rus G, Calero MA, Perera F, Garcia-Suarez J, Ricard MP (1994) Peripheral thrombocytopenia, accessory spleen and Hodgkin’s disease: an unusual combination. Acta Haematol 91:35–36

    Article  PubMed  CAS  Google Scholar 

  44. Kao NI, Musto PK, Richmond GW (1994) Refractory thrombocytopenia in a patient with systemic lupus erythematosus and prior immune thrombocytopenia, not responsive to accessory splenectomy. South Med J 87:941–943

    Article  PubMed  CAS  Google Scholar 

  45. Mintz SJ, Petersen SR, Cheson B, Cordell L, Richards RC (1981) Splenectomy for immune thrombocytopenic purpura. Arch Surg 116:645–650

    PubMed  CAS  Google Scholar 

  46. Facon T, Caulier MT, Fenaux P, Plantier I, Marchandise X, Ribet M, Jouet JP, Baueters F (1992) Accessory spleen in recurrent chronic immune thrombocytopenic purpura. Am J Hematol 41:184–189

    Article  PubMed  CAS  Google Scholar 

  47. Coon WW (1989) Splenectomy for massive splenomegaly. Surg Gynecol Obstet 160:291–294

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Hiatt, J.R., Allins, A., Kong, L.R. (1997). Open Splenectomy. In: Hiatt, J.R., Phillips, E.H., Morgenstern, L. (eds) Surgical Diseases of the Spleen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60574-1_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60574-1_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64461-0

  • Online ISBN: 978-3-642-60574-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics