Retrospective investigation of patients undergoing splenectomy: Our 8-year clinical experience in a single center.

Northern clinics of Istanbul Pub Date : 2025-04-25 eCollection Date: 2025-01-01 DOI:10.14744/nci.2025.67503
Ela Erten, Burak Ucaner, Sebnem Cimen
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Abstract

Objective: Elective splenectomy is often performed due to hematological diseases. In this study, we aimed to investigate the splenectomy procedures performed in our clinic under emergency and elective conditions by analyzing the surgical techniques applied, surgical indications, and the clinical and demographic data of the patients, while seeking to discuss this subject, which holds a significant place in general surgical practice, in light of current literature.

Methods: Patients who underwent splenectomy surgery in the general surgery clinic of a tertiary care hospital between September 2016 and September 2024 were included in the study. Clinical and demographic data of the patients were collected retrospectively through the hospital information management system records.

Results: The mean age of 89 patients included in the study was 41.0±18.8 years (18-76 years). The male/female ratio was 1.3/1. The most common indication for splenectomy was trauma (38.2%). This was followed by mass (29.2%), splenomegaly (14.6%), and immune thrombocytopenic purpura (ITP) (14.6%). Of the patients, 62.9% underwent open surgery, while 37.1% were operated on using the laparoscopic technique. Of the patients, 57.3% underwent elective surgery, while emergency surgery was planned for 42.7%.

Conclusion: While splenectomy is a life-saving intervention in emergency conditions, it has become the most important treatment in some hematological diseases. Firstly, accurate surgical indication and the selection of an appropriate surgical technique tailored to the patient are of critical importance. There are still controversial issues in the current literature regarding the indications for splenectomy and the surgical technique to be applied.

脾切除术患者的回顾性调查:我们在单一中心的8年临床经验。
目的:选择性脾切除术是血液病患者的首选手术。在本研究中,我们旨在通过分析所应用的手术技术、手术适应症以及患者的临床和人口统计数据,来研究在急诊和选择性条件下在我诊所进行的脾切除术,同时根据目前的文献,试图讨论这一在普通外科实践中占有重要地位的主题。方法:选取2016年9月至2024年9月在某三级医院普外科门诊行脾切除术的患者为研究对象。通过医院信息管理系统记录回顾性收集患者的临床及人口学资料。结果:纳入研究的89例患者平均年龄为41.0±18.8岁(18-76岁)。男女比例为1.3/1。脾切除术最常见的指征是外伤(38.2%)。其次是肿块(29.2%)、脾肿大(14.6%)和免疫性血小板减少性紫癜(ITP)(14.6%)。62.9%的患者采用开放手术,37.1%的患者采用腹腔镜手术。其中,57.3%的患者选择了择期手术,42.7%的患者计划进行紧急手术。结论:脾切除术是紧急情况下挽救生命的干预措施,但它已成为某些血液系统疾病最重要的治疗方法。首先,准确的手术指征和选择适合患者的手术技术是至关重要的。脾切除术的指征和手术技术在目前文献中仍存在争议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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