medigraphic.com

2001, Número 1

<< Anterior Siguiente >>

Rev Med Hosp Gen Mex 2001; 64 (1)


Esplenectomía. Experiencia en el Hospital General de México

Escotto-Sánchez I, Gutiérrez-Vega R

Idioma: Español
Referencias bibliográficas: 33
Paginas: 17-20
Archivo PDF: 50.88 Kb.


RESUMEN

Se estudiaron los expedientes clínicos de pacientes sometidos a esplenectomía en el Servicio de Urgencias y Cirugía General del Hospital General de México, de la Secretaría de Salud, entre enero de 1995 y junio de 1999. Se incluyeron 51 casos, 75.5% correspondió a mujeres. La indicación más frecuente para realizar la esplenectomía fue púrpura trombocitopénica idiopática. La vía de abordaje más empleada fue la vía abierta, en 96.1% de los casos; se utilizó drenaje en 68.6% de los pacientes. Se presentaron complicaciones posoperatorias en 60.8% de los sujetos, siendo la más frecuente la presencia de sangrado; la mortalidad registrada fue del 5.9%.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Park A, Marcaccio M, Sternbach M, Witzke D, Fitzgerald P. Laparoscopic vs open splenectomy. Arch Surg 1999; 134(11): 1263-1269.

  2. Hardwick RH, Slade RR, Smith PA, Thompson MH. Laparoscopic splenectomy in pregnancy. J Laparoendosc Adv Surg Tech A 1999; 9 (5): 439-40.

  3. Monpoux F, Kurzenne JY, Sirdent N, Cattalorda J, Boutte P. Partial splenectomy in a child with human immunodeficiency virus-related immune thrombocytopenia. J Pediatr Hematol Oncol 1999; 21 (5): 441-443.

  4. Rossbach HC, Grana NH, Barbosa JL. Successful management of concomitant Diamond-Blackfan anaemia and aplastic anaemia with splenectomy. Br J Haematol 1999; 106 (2): 569-570.

  5. Namikura R, Mizuro T, Matzuoka H et al. Ontogenic development of T and B cells and non-lymphoid cells in the white pulp of the human spleen. Immunology 1986; 57: 61-69.

  6. Grreenfield LJ. Surgery. Scientific principles and practice. 2nd ed. Philadelphia-New York: Lippincott Raven 1997.

  7. Aster RH. Pooling of platelets in the spleen: role in the pathogenesis of hypersplenic thrombocytopenia. J Clin Invest 1966; 45: 645-657.

  8. Lockwood CM. Immunological functions of the spleen. Clin Haematol 1983; 12: 449.

  9. El-Akkad-H, Sass-W, Colberg-A, Knippert-A, Serfert-J. New arguments to explain the high infection rate in posttraumatic spleenless patients. Zentralbl-Chir 1997; 122 (10): 909-913.

  10. Sandler A, Winkel G, Kimura K, Soper R. The role of prophylactic cholecystectomy during splenectomy in children with hereditary spherocytosis. J Pediatr Surg 1999; 34 (7): 1077-1078.

  11. Al-Salem AH. Is splenectomy for massive splenomegaly safe in children? Am J Surg 1999; 178 (1): 42-45.

  12. Lee JJ, Kim HJ, Chung IJ, Park MR, Seo KS, Jeong YY, Kim JK. Portal, mesenteric and splenic vein thromboses after splenectomy in a patient with chromic myeloid leukemia variant with thrombocythemic ouset. Am J Hematol 1999; 61 (3): 212-215.

  13. Shimomatsuya T, Horiuchi T. Laparoscopic splenectomy for treatment of patients with idiopathic thrombocytopenic purpura. Comparison with open splenectomy. Surg Endosc 1999; 13 (6): 563-566.

  14. Morris KT, Hovarth KD, Jobe BA, Swanstrom LL. Laparoscopin management of accessory spleens in immune thrombocytopenic purpura. Surg Endosc 1999; 13 (5): 520-522.

  15. Frebo E, Cohen IJ, Mor C, Golimsky D, Blunenfeld A, Zer M. Splenic regeneration after partial splenectomy for Gaucher disease: histological features. Blood Cells Mol Dis 1998; 24 (3): 309-316.

  16. Otsuji E, Yamaguchi T, Sawai K, Okamoto K, Takahashi T. Total gastrectomy with simultaneous pancreaticosplenectomy or splenectomy in patients with advanced gastric carcinoma. Br J Cancer 1999; 79: 1789-1793.

  17. Mittelman-M, Kyzer-S, Zeidman-A, Bendayan-D, Ramadan-E, Cohen-A, Cahimoff-C. Splenectomy for haematological diseases, a single institution experience. Haematologia Budap 1997; 28 (4): 185-198.

  18. Katkhouda-N, Hurwitz-MB, Rivera R-T, Chandra-M, Waldrep-DJ, Gugenheim-J, Moviel-J. Laparoscopic splenectomy: outcome and efficacy in 103 consecutive patients. Ann Surg 1998; 228 (4): 568-578.

  19. McAnemy-D, La-Morte-WW, Scott-TE, Weintraub-LR, Beazley-RM. Is splenectomy more dangerous for massive spleens? Am J Surg 1998; 175 (2): 102-107.

  20. Sorrells-DL, Morrissey-TB, Brown-MF. Septic complications after splenectomy for sickle cell sequestration crisis. Pediatr Surg Int 1998; 13 (2-3): 100-103.

  21. Tsugawa K, Hashizume M, Tomikawa M, Tonove K, Migou S, Sugimachi K. Laparoscopic splenectomy form splenic artery aneurysm. Hepatogastroenterology 1999; 46 (28): 2631-2634.

  22. Loring LA, Panicek DM, Karpeh MS. Portal system thrombosis after splenectomy for neoplasm or chronic hematologic disorder: Is routine surveillance imaging necessary? J Comput Assist Tomogr 1998; 22 (6): 856-860.

  23. Targarona EM, Espert JJ, Cerdan G, Balague C, Piulachs J, Sugranes G, Artigas V, Trias M. Effect of spleen size on splenectomy outcome. A comparison of open and laparoscopic surgery. Sur Endosc 1999; 13 (6): 559-562.

  24. Glasgow RE, Mulvihill SJ. Laparoscopic splenectomy. World J Surg 1999; 23 (4): 384-388.

  25. McClusky DA 3rd, Skandalakis LJ, Colborn GL, Skandalakis JE. Tribute to a triad: history of splenic anatomy, physiology and surgery, part 1. World J Surg 1999; 23 (3): 311-325.

  26. Svarch E, Nordet I, Gonzalez A. Overwhelming septicaemia in a patient with sickel cell-beta (O) thalassaemia and partial splenectomy. Br J Haematol 1999; 104 (4): 930.

  27. Delaitre BJ. Laparoscopic splenectomy. Sur Endosc 1999; 13 (11): 1173-1174.

  28. Schwarz RE, Harrison LE, Conlon KC, Klimstra DS, Brennan MF. The impact of splenectomy on outcomes after resection of pancreatic adenocarcinoma. J Am Coll Surg 1999; 188 (5): 516-521.

  29. Kwon-SJ. Prognostic impact of splenectomy on gastric cancer: result of the Korean Gastric Cancer Study Group. Worl J Surg 1997; 21 (8): 837-844.

  30. Wanebo HJ, Kennedy BJ, Winchester DP, Stewart AK, Fremgen Am. Role of splenectomy in gastric cancer surgery: adverse effect of elective splenectomy on long term survival. J Am Coll Surg 1997; 185 (2): 177-184.

  31. Al-Salem AH, Al-Dabbous I, Bhamidibati P. The role of partial splenectomy in children with thalassemia. Eur J Pediatr Surg 1998; 8 (6): 334-338.

  32. Toth-L, Takacs-K, Balika-Z, Felker-J. Splenectomy and spleen autotransplantation due to splenic cyst. Acta Chir Hung 1997; 36 (1): 364-365.

  33. Szendroi-T, Miko-I, Hajdu-Z, Acs-G, Kathy-S, Furka-I, Szabo-L. Splenic autotransplantation after abdominal trauma in childhood. Clinical and experimental data. Acta Chir Hung 1997; 36 (1-4): 349-351.




2020     |     www.medigraphic.com