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脾次全切除术后脾脏的形态学与活力

Morphology and viability of the spleen after subtotal splenectomy.

作者信息

Petroianu A, Ferreira V L, Barbosa A J

机构信息

Departamento de Cirurgia, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.

出版信息

Braz J Med Biol Res. 1989;22(4):491-5.

PMID:2590733
Abstract
  1. Postsplenectomy complications have stimulated surgeons to opt for partial splenectomy as a more desirable technique for several diseases and in some cases for trauma to the spleen. 2. We studied spleen viability in 15 dogs submitted to subtotal splenectomy while maintaining the upper pole and upper splenogastric vessels. Macro- and microscopic histological studies as well as Tc99m-labeled heat-damaged erythrocyte scintigraphic analysis of splenic blood irrigation were carried out. 3. We conclude that: a) the splenogastric vessels are sufficient for the maintenance of spleen irrigation and drainage; b) the spleen remnants develop increased cellularity of the splenic cords and lymphoid folliculi; c) the length of the spleen remnants does not change for at least 2 months after surgery.
摘要
  1. 脾切除术后并发症促使外科医生选择部分脾切除术,作为治疗多种疾病以及某些脾脏创伤时更可取的技术。2. 我们对15只接受次全脾切除术的犬进行了研究,术中保留脾上极和胃脾上血管。进行了大体和微观组织学研究以及用锝99m标记热损伤红细胞对脾血流灌注的闪烁扫描分析。3. 我们得出以下结论:a) 胃脾血管足以维持脾脏的血流灌注和引流;b) 脾脏残余组织中脾索和淋巴滤泡的细胞增多;c) 术后至少2个月内脾脏残余组织的长度无变化。

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Morphology and viability of the spleen after subtotal splenectomy.脾次全切除术后脾脏的形态学与活力
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引用本文的文献

1
Laparoscopic subtotal splenectomy in hereditary spherocytosis : to preserve the upper or the lower pole of the spleen?遗传性球形红细胞增多症的腹腔镜脾次全切除术:保留脾脏上极还是下极?
Surg Endosc. 2006 May;20(5):748-52. doi: 10.1007/s00464-005-0429-6. Epub 2006 Mar 16.