Outcomes Of Splenectomy For Hematologic Diseases - A Single Center Experience

摘要

Outcomes Of Splenectomy For Hematologic Diseases - A Single Center Experience ?skan ?all? , FIRAT ASLAN , üM?T HALUK ?L?KLERDEN , Remzi KIZILTAN , ?etin Kotan Department of General Surgery, Yüzüncü Y?l University, Van, Turkey INTRODUCTION: SUMMARY Introduction and Aim: Splenectomy is a standard, effective and approved approach to the treatment of patients with failed medical treatment who develop recurrent, refractory or chronic diseases. The leading indications for elective splenectomy are benign and malignant hematologic diseases. We present here the findings of a retrospective analysis of the splenectomies performed in a single center for the treatment of hematologic diseases, and the associated outcomes. METHODS: Materials and Method: A retrospective examination was made of 64 patients who underwent splenectomy for the treatment of hematologic diseases at our clinic between 2010 and 2018. The patients were assessed for gender, age, hematologic disease, spleen size, presence of hepatomegaly, presence of accessory spleen, type of surgery (laparoscopic or open), wound site infection, preoperative and postoperative platelet counts, intraoperative and/or postoperative blood replacement, and length of hospital stay. RESULTS: Results: The study sample comprised 23 (36%) male and 41 (64%) female patients, with a mean age of 40.4 years. Of the patients, 51 underwent laparoscopic splenectomy and 13 underwent splenectomy with laparotomy. Of the total, 57 (89%) patients responded fully to the splenectomy, six (9%) patients recorded a partial response and one (2%) patient had no response. Following the splenectomy procedure, one patient developed wound site infection and two patients died due to sepsis. DISCUSSION AND CONCLUSION: Conclusion: Splenectomy should be considered a good treatment option in hematologic splenic diseases that are resistant to medical treatment, being also associated with low mortality and morbidity.