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Clinical Analysis of 781 Patients Underwent Splenectomy
Author(s): 
Pages: 669-671
Year: Issue:  6
Journal: Academic Journal of Sun Yat-sen University of Medi

Keyword:  splenectomyclinical analysis;
Abstract: [Objective] To summarize the indications of splenectomy and evaluate the perioperative management and investigate the clinical effects of splenectomy. [Method] The clinical data and follow-up information of splenectomy of 781 cases from our hospital in recent 10 years were analyzed retrospectively. [Results] Most patients were portal hypertension splenomegaly (n=321, 41.10%). The next were synchronous tumors resection with splenectomy (n=213, 29.32%). Different types of operations were performed for 781 patients (total 1373 times), most of which were shunt or divascularization (23.65%). Two hundreds and two times (25.86%) of complications developed in 113 patients (14.47%), most of which were infections. One hundred and twenty patients with portal hypertension splenomegaly were followed up for 1-10 years, and no serious infection occurred. [Conclusion] Portal hypertension splenomegaly is the main indication of splenectomy in our country and the splenomegaly resection is beneficial for long-term outcome. Postoperative complications are critically related to the spleneetomy indications and a careful perioperative management is very important.
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