Castrini G, Pappalardo G
Int Surg. 1979 Nov-Dec;64(6):21-6.
The authors report their experience with 25 patients suffering from C.M.L. who underwent splenectomy in an early phase of the disease. There were no operative deaths; seven patients had postoperative complications, three of which required re-operation for intra-abdominal hemorrhage. The follow-up is still too short to permit definite conclusions, but the results so far obtained suggest that splenectomy is useful in reducing leukemic tissue, improving the quality of life, and potentially efficacious in delaying the onset of blastic transformation.
作者报告了25例慢性粒细胞白血病患者在疾病早期接受脾切除术的经验。无手术死亡病例;7例患者有术后并发症,其中3例因腹腔内出血需要再次手术。随访时间仍太短,无法得出明确结论,但目前获得的结果表明,脾切除术有助于减少白血病组织,改善生活质量,并可能有效延缓急变期的到来。