[Partial splenectomy using a stapler and the role of regeneration of the residual splenic stump].
Current evidence indicates that only complete or partial intact spleen can protect the organism against pneumococcal sepsis. What is not clear is the amount of minimal splenic tissue needed to protect the organism against such infection. This study has been carried out on 20 dogs which underwent partial or total splenectomy with stapler. Animals were divided into 8 groups according to the quantity of the remnant splenic tissue: 0% (4 dogs); 5% (4); 15% (1); 25% (1); 35% (2); 50% (2); 75% (2); 100% (4), and were followed up for 6 and 12 months. No mortality or bleeding was registered. Results showed a splenic regeneration, histologically demonstrated as an increased number of germinal follicles, in 12 out of 16 dogs, more evident in the animals sacrificed at one year. In conclusion, even a small amount (5%) of splenic tissue preserved with its blood supply can regenerate and acquire with time enough immunological function to protect the organism against post-splenectomy sepsis.
Ravo
B
B
Nassau County Medical Center, N.Y.
Trentino
P
P
Cortesi
F
F
Metwally
N
N
Pai
P
P
D000818:Animals; D004285:Dogs; D005260:Female; D005500:Follow-Up Studies; D012038:Regeneration; D013154:Spleen / Q000502:physiology*; D013156:Splenectomy; D013528:Surgical Staplers; D013997:Time Factors
Splenectomie parziali con stapler e ruolo della rigenerazione del moncone splenico residuo.