Daniels V, Kümmerle F, Preiss J, Fischer J, Günther R
Dtsch Med Wochenschr. 1981 Feb 20;106(8):233-8. doi: 10.1055/s-2008-1070293.
Between 1963 and 1979 a total of 357 patients with malignant systemic lymphatic disease underwent splenectomy in the course of exploratory laparotomy. There were three groups: 1. Hodgkin's disease (215 patients), 2. non-Hodgkin's lymphoma (93), and 3. chronic lymphoid leukaemia (49). Comparing pre- and postoperative findings, primary exploratory laparotomy remained the most exact foundation for the differentiated treatment of Hodgkin's disease in stages I-III. Systematic staging laparotomy was of less importance for non-Hodgkin's lymphoma and chronic lymphoid leukaemia because of the much more frequent invasion of bone marrow, spleen and liver. However, it should be considered more often in the management of such cases.
1963年至1979年间，共有357例恶性系统性淋巴疾病患者在剖腹探查术中接受了脾切除术。患者分为三组：1. 霍奇金病（215例），2. 非霍奇金淋巴瘤（93例），3. 慢性淋巴细胞白血病（49例）。对比术前和术后的检查结果，对于I - III期霍奇金病的个体化治疗，初次剖腹探查术仍然是最准确的依据。由于骨髓、脾脏和肝脏更常受到侵犯，系统性分期剖腹探查术对于非霍奇金淋巴瘤和慢性淋巴细胞白血病的重要性较低。然而，在处理这类病例时应更频繁地考虑该手术。
