Document Detail


Partial splenectomy in staging laparotomy for Hodgkin's disease: an alternative approach.
MedLine Citation:
PMID:  731356     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Partial splenectomy, with resection of the lower one-fourth to one-third spleen, was performed in 10 children with Hodgkin's disease as part of an otherwise standard staging laparotomy. The technique proved to be safe and practical, with no postoperative complications. No evidence to date indicates that splenic involvement was missed, and all the children have thus far continued to do well, with no deaths from either underlying disease or postsplenectomy sepsis. The procedure is undergoing a prospective clinical trial in an effort to determine whether or not it is comparable from a diagnostic point of view to total splenectomy. Available data indicate that the risk of missing intraabdominal disease in a staging laparotomy with a partial splenectomy is quite low. Such a procedure should eliminate the substantial risk of postsplenectomy sepsis in such children.
Authors:
E T Boles; G M Haase; A B Hamoudi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  13     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1978 Dec 
Date Detail:
Created Date:  1979-03-24     Completed Date:  1979-03-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  581-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Bacterial Infections / prevention & control
Child
Child, Preschool
Hodgkin Disease / pathology*
Humans
Laparotomy
Neoplasm Staging
Postoperative Complications / prevention & control
Prospective Studies
Risk
Spleen / pathology*
Splenectomy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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