Technical Problems of Splenectomy in Hematological Diseases
The article focuses on the technical aspects of splenectomy (SE) in 1628 patients using two main techniques: laparoscopy (885 SEs) and laparotomy (743 SEs), with a description of various factors that influence the invasiveness and the success of the surgery. The fact is that in addition to the shape...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
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Practical Medicine Publishing House
2017-01-01
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| Series: | Клиническая онкогематология |
| Subjects: | |
| Online Access: | http://bloodjournal.ru/wp-content/uploads/2017/01/13_reduced.pdf |
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| _version_ | 1850152476088467456 |
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| author | SR Karagyulyan KI Danishyan SA Shutov MA Silaev |
| author_facet | SR Karagyulyan KI Danishyan SA Shutov MA Silaev |
| author_sort | SR Karagyulyan |
| collection | DOAJ |
| description | The article focuses on the technical aspects of splenectomy (SE) in 1628 patients using two main techniques: laparoscopy (885 SEs) and laparotomy (743 SEs), with a description of various factors that influence the invasiveness and the success of the surgery. The fact is that in addition to the shape and size of an enlarged spleen, the technical complexity of the SE, especially in laparoscopic access depends on the following factors: perisplenitis, close presentation and fusion of the tail of the pancreas to the spleen, tumor infiltration of splenic vascular pedicle, branchy type of its structure, visceral obesity, compression of the splenic pedicle with enlarged and united lymph nodes. In most cases (60 %), there is a combination of several risk factors, thus making the surgery even more difficult. The indications for splenectomy, as well as its influence on the course of the main hematological disease are not considered in this paper. |
| format | Article |
| id | doaj-art-9be0ff0c7c8f47b2b0899a89442ce9d6 |
| institution | OA Journals |
| issn | 1997-6933 2500-2139 |
| language | Russian |
| publishDate | 2017-01-01 |
| publisher | Practical Medicine Publishing House |
| record_format | Article |
| series | Клиническая онкогематология |
| spelling | doaj-art-9be0ff0c7c8f47b2b0899a89442ce9d62025-08-20T02:25:58ZrusPractical Medicine Publishing HouseКлиническая онкогематология1997-69332500-21392017-01-0110110110710.21320/2500-2139-2017-10-1-101-107Technical Problems of Splenectomy in Hematological DiseasesSR Karagyulyan0KI Danishyan1SA Shutov2MA Silaev3Hematology Research Center under the Ministry of Health of the Russian Federation, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167Hematology Research Center under the Ministry of Health of the Russian Federation, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 12516Hematology Research Center under the Ministry of Health of the Russian Federation, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 12516Hematology Research Center under the Ministry of Health of the Russian Federation, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 12516The article focuses on the technical aspects of splenectomy (SE) in 1628 patients using two main techniques: laparoscopy (885 SEs) and laparotomy (743 SEs), with a description of various factors that influence the invasiveness and the success of the surgery. The fact is that in addition to the shape and size of an enlarged spleen, the technical complexity of the SE, especially in laparoscopic access depends on the following factors: perisplenitis, close presentation and fusion of the tail of the pancreas to the spleen, tumor infiltration of splenic vascular pedicle, branchy type of its structure, visceral obesity, compression of the splenic pedicle with enlarged and united lymph nodes. In most cases (60 %), there is a combination of several risk factors, thus making the surgery even more difficult. The indications for splenectomy, as well as its influence on the course of the main hematological disease are not considered in this paper.http://bloodjournal.ru/wp-content/uploads/2017/01/13_reduced.pdfhematological disorderssplenectomylaparoscopylaparotomy |
| spellingShingle | SR Karagyulyan KI Danishyan SA Shutov MA Silaev Technical Problems of Splenectomy in Hematological Diseases Клиническая онкогематология hematological disorders splenectomy laparoscopy laparotomy |
| title | Technical Problems of Splenectomy in Hematological Diseases |
| title_full | Technical Problems of Splenectomy in Hematological Diseases |
| title_fullStr | Technical Problems of Splenectomy in Hematological Diseases |
| title_full_unstemmed | Technical Problems of Splenectomy in Hematological Diseases |
| title_short | Technical Problems of Splenectomy in Hematological Diseases |
| title_sort | technical problems of splenectomy in hematological diseases |
| topic | hematological disorders splenectomy laparoscopy laparotomy |
| url | http://bloodjournal.ru/wp-content/uploads/2017/01/13_reduced.pdf |
| work_keys_str_mv | AT srkaragyulyan technicalproblemsofsplenectomyinhematologicaldiseases AT kidanishyan technicalproblemsofsplenectomyinhematologicaldiseases AT sashutov technicalproblemsofsplenectomyinhematologicaldiseases AT masilaev technicalproblemsofsplenectomyinhematologicaldiseases |