Boles E T, Haase G M, Hamoudi A B
J Pediatr Surg. 1978 Dec;13(6D):581-6. doi: 10.1016/s0022-3468(78)80097-9.
Partial splenectomy, with resection of the lower one-fourth to one-third spleen, was performed in 10 children with Hodgkin's disease as part of an otherwise standard staging laparotomy. The technique proved to be safe and practical, with no postoperative complications. No evidence to date indicates that splenic involvement was missed, and all the children have thus far continued to do well, with no deaths from either underlying disease or postsplenectomy sepsis. The procedure is undergoing a prospective clinical trial in an effort to determine whether or not it is comparable from a diagnostic point of view to total splenectomy. Available data indicate that the risk of missing intraabdominal disease in a staging laparotomy with a partial splenectomy is quite low. Such a procedure should eliminate the substantial risk of postsplenectomy sepsis in such children.
对10例霍奇金病患儿实施了部分脾切除术，切除脾脏下四分之一至三分之一，作为标准分期剖腹探查术的一部分。该技术被证明是安全可行的，无术后并发症。迄今为止，没有证据表明遗漏了脾脏受累情况，所有患儿目前情况良好，没有因潜在疾病或脾切除术后败血症死亡的病例。该手术正在进行一项前瞻性临床试验，以确定从诊断角度来看它是否与全脾切除术相当。现有数据表明，在分期剖腹探查术中进行部分脾切除术时遗漏腹腔内疾病的风险相当低。这样的手术应该可以消除此类患儿脾切除术后败血症的重大风险。
