Department of Surgery, Mayo Clinic, Jacksonville, FL, USA; Tbilisi State Medical University, Tbilisi, Georgia.
Department of Surgery, Mayo Clinic, Jacksonville, FL, USA.
Am J Surg. 2018 Dec;216(6):1192-1204. doi: 10.1016/j.amjsurg.2018.01.073. Epub 2018 Feb 5.
No standard classification exists for post-splenectomy thrombosis of splenic, mesenteric, and portal vein (PST-SMPv). The goal of this study was to review our institution's experience with PST-SMPv and to perform a systematic literature review.
A retrospective review of all patients undergoing splenectomy from 1995-2016 at our institution was performed. Additionally, six databases and four grey literature websites were systematically searched. Splenectomy for pediatric patients or for trauma or portal hypertension related reasons were excluded.
Between 1995 and 2016, 229 patients (113; 49.3% males) underwent splenectomy for spleen related diseases at our institution. From 1895 to 2016, 1645 unique literature citations were identified. Twenty citations met our inclusion criteria. Data on 1745 splenectomized patients was compiled; PST-SMPv occurred in 141 (8.1%).
In our series, PST-SMPv developed in 6.6% of patients and the incidence of PST-SMPv after splenectomy in the literature ranges from 0.8 - 53.0%. A call for standardized reporting through a proposed classification is made.
脾切除术后脾、肠系膜和门静脉血栓形成（PST-SMPv）尚无标准分类。本研究旨在回顾本机构的经验，并进行系统的文献回顾。
对本机构 1995-2016 年期间所有接受脾切除术的患者进行回顾性分析。此外，还对六个数据库和四个灰色文献网站进行了系统搜索。排除了小儿患者、创伤或门脉高压相关原因的脾切除术。
1995 年至 2016 年期间，本机构有 229 例（男性 113 例，占 49.3%）因脾脏疾病接受脾切除术。1895 年至 2016 年期间，共确定了 1645 个独特的文献引用。20 个引文符合我们的纳入标准。共收集了 1745 例脾切除术患者的数据；141 例（8.1%）发生 PST-SMPv。
在本系列中，PST-SMPv 在 6.6%的患者中发生，文献中脾切除术后 PST-SMPv 的发生率为 0.8-53.0%。建议通过提出的分类进行标准化报告。
