[Partial instead of complete splenectomy in children for the pathological staging of Hodgkin disease].
OBJECTIVE
Evaluation of partial splenectomy in children for pathological staging of Hodgkin's disease.


METHODS
Prospective clinical study.


METHODS
University Hospital Groningen.


METHODS
From 1982 to 1988, 12 children with Hodgkin's disease underwent partial splenectomy during laparotomy for pathological staging. A follow-up of these children was conducted up for a median of 6 years (range 4-10) postoperatively.


RESULTS
The median hospital stay after the laparotomy was 7 days. There was no postoperative mortality; one patient needed a relaparotomy. During a median follow-up of 6 years, one patient died of secondary leukaemia. All the other children were well. None of the patients developed sepsis and no Howell-Jolly bodies could be found in their blood.


CONCLUSIONS
Partial splenectomy for pathological staging of Hodgkin's disease is a safe procedure which causes hardly any underestimation of the stage of the disease and which ensures adequate spleen function, depending on the treatment used for Hodgkin's disease.
Hoekstra
H J
HJ
Afd. Chirurgie, sectie Chirurgische Oncologie, Academisch Ziekenhuis, Groningen.
Tamminga
R Y
RY
Timens
W
W
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D006689:Hodgkin Disease / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D011446:Prospective Studies; D011879:Radiotherapy Dosage; D013156:Splenectomy / Q000379:methods*
Partiële in plaats van complete splenectomie bij kinderen voor pathologische stadiëring van de ziekte van Hodgkin.