| Abstract: | ![]()
lve cirrhotic patients underwent subtotalsplenectomy. The operative technique involved pre-servation of anatomic segments and suture of anomental patch to the residual spleen. With knowledgeon segmental vascular anatomy in splenomegaly, sub-total splenic resection can be readily accomplishedwith ease and safety. Follow-up of the 12 patientsshowed that the preserved spleen had normal uptakeof 51Cr denatured erythrocyte isotope, high gradeserum IgM, and effect of alleviating fever aftersplenectomy. Splenic scan and clinical immunologicsurvey revealed the functional capacity of splenicremnant, and the lower percentage of "pocked"RBCs, an important clue to eusplenia. Thus, thenormal function and size retained of the residualspleen were saved. If long-term follow-up confirmsthe value of segmental splenectomy, it may becomean adjuvant treatment in lowering portal hypertension in cirrhotic patients. |
