Franchini A, Belelli E, Tonielli E
Minerva Chir. 1976 Oct 15;31(19):1033-8.
A series of 104 laparosplenectomies for Hodgkin's disease was carried out over a period of 4 years. Splenectomy was considered indicated in all cases observed, independently of the clinical situation; preference was, however, reserved to patients in whom the disease was just at the beginning and not yet treated. In such patients, the purpose of the intervention was to pinpoint the degree of development of the disease which would then dictate the chemo-radiological therapeutic protocol. The theoretical bases of the method are illustrated along with its aims and the simple technical features of the surgery. Intraoperative findings are discussed and compared with previous clinical and radiological data, and immediate results are reported.
在4年的时间里,共进行了104例霍奇金病的剖腹脾切除术。在所有观察到的病例中,无论临床情况如何,均认为有必要进行脾切除术;然而,优先考虑的是疾病刚起病且尚未接受治疗的患者。对于这类患者,手术的目的是确定疾病的发展程度,进而确定放化疗治疗方案。文中阐述了该方法的理论基础、目的以及手术的简单技术特点。对术中发现进行了讨论,并与先前的临床和放射学数据进行了比较,同时报告了近期结果。