[Splenectomy in hematologic diseases. Indications, technics and early results. A retrospective study of 1095 cases].
Since July 1st, 1958, we have operated 1095 patients with some hematological disease. We review the chief currently accepted surgical indications for splenectomy (Hodgkin's disease no longer being one of them, or seldom so), and we communicate our results pertaining to the immediate postsurgical period. Mortality and morbidity have been 1.36% and 3.28%, respectively. In over 95% of cases, there have been no complications. The low incidence (1.36%) of infection-related complications was partly due to the important number of splenic drains placed. High quality results can only be achieved when tight collaboration exists between hematologists, radiologists and surgeons.
Charleux
H
H
Julien
M
M
Bousquet
R
R
Ribardière
J L
JL
Marmuse
J P
JP
Hakim
J
J
D004322:Drainage / Q000379:methods; D006402:Hematologic Diseases / Q000601:surgery*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D011184:Postoperative Period; D012189:Retrospective Studies; D013156:Splenectomy / Q000009:adverse effects / Q000379:methods / Q000401:mortality; D013492:Suppuration / Q000209:etiology; D013923:Thromboembolism / Q000209:etiology
Les splénectomies pour affections hématologiques indications, techniques et résultats précoces. Etude rétrospective de 1095 dossiers.