PMID: 9660206Jul 11, 1998Paper

Elective partial splenectomy in childhood

Journal of Pediatric Surgery
C KimberA Pierro

Abstract

The indications and results of elective partial splenectomy in children remain uncertain. The aim of this study was to determine (1) the indications for elective partial splenectomy (EPS), (2) the extent of splenic resection, and (3) the complications of EPS. Patients who underwent EPS from three centers over a 10-year period (1986 through 1996) were studied. Variables analyzed included clinical presentation and indications for EPS, extent of resection performed, perioperative transfusions, and complications. Postoperatively, splenic viability was determined by regular Doppler ultrasound scan and splenic function on peripheral blood film analysis. EPS was attempted in 12 children for various conditions: giant epithelial cyst (n = 6), hypersplenism and metabolic disease (n = 4), pseudotumor (n = 1), and abscess (n = 1). One procedure was converted to total splenectomy because of thin splenic tissue around an infected giant cyst. No child required transfusion for splenic bleeding. There were no postoperative complications or deaths. Only 7 of the 12 children received prophylactic preoperative immunisation. In the 11 successful cases splenic remnant viability remains confirmed by ultrasound scan and normal blood film. There has be...Continue Reading

References

Jul 1, 1989·Journal of Pediatric Surgery·C MoirS Youssef
Feb 1, 1997·Journal of Pediatric Surgery·R J TouloukianM Reyes

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Citations

May 28, 2004·Pediatric Surgery International·Patrizia Dall'IgnaRita Alaggio
Apr 2, 2005·Pediatric Surgery International·C EspositoG Esposito
Nov 30, 2006·Surgical Endoscopy·J MertensB Topal
May 2, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·P A SeshadriC M Schlachta
Jan 23, 2003·Archives of Disease in Childhood·G H ThalhammerM S Zach
Jun 12, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Nagendra Naidu Dudi-VenkataMehrdad Nikfarjam
Sep 10, 2008·Journal of Pediatric Surgery·Jason C FisherRobert A Cowles
May 20, 2008·Journal of Pediatric Surgery·Elisabeth De GreefMarc Miserez
Apr 3, 2009·Pediatric Blood & Cancer·Laura AvilaAbha A Gupta
Apr 12, 2019·Clinical Journal of Gastroenterology·Masataka OkunoKanji Miyata
May 4, 2017·Cardiovascular and Interventional Radiology·Okan AkhanDevrim Akinci
Jan 21, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Andrea RomboliRenato Costi
Oct 27, 2020·European Journal of Pediatric Surgery Reports·Isabel Bada-BoschJuan de Agustin

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