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Titolo:
Elective splenectomy in the elderly - perioperative and long-term course
Autore:
Palsson, B; Hallen, M; Nordenstrom, E; Andersson, R;
Indirizzi:
Univ Lund Hosp, Dept Surg, S-22185 Lund, Sweden Univ Lund Hosp Lund Sweden S-22185 Hosp, Dept Surg, S-22185 Lund, Sweden
Titolo Testata:
LANGENBECKS ARCHIVES OF SURGERY
fascicolo: 5, volume: 386, anno: 2001,
pagine: 339 - 345
SICI:
1435-2443(200108)386:5<339:ESITE->2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
LAPAROSCOPIC SPLENECTOMY; HEMATOLOGICAL DISEASES; GASTRIC-CANCER; MORTALITY; RISK; COMPLICATIONS; SPLEEN;
Keywords:
splenectomy; elderly; haematological; morbidity; mortality; long-term course;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Palsson, B Univ Lund Hosp, Dept Surg, S-22185 Lund, Sweden Univ Lund HospLund Sweden S-22185 Surg, S-22185 Lund, Sweden
Citazione:
B. Palsson et al., "Elective splenectomy in the elderly - perioperative and long-term course", LANG ARCH S, 386(5), 2001, pp. 339-345

Abstract

Background: The hazards of elective splenectomy in the elderly have not been thoroughly investigated. The aim was to assess such a well-defined cohort with respect to perioperative and long-term outcome. Methods: Fifty-two consecutively splenectomised patients during the period 1971-1995, aged 65 years or older, were followed until death (44 cases) or the end of 1999 (8 cases). Results: No intraoperative deaths occurred, while three patients (5.8%) died postoperatively in the 1970s. Twenty-four patients suffered from thirty-four postoperative complications, dominated by infections and haematomas. No differences were seen comparing patients with and without complications related to the American Society of Anesthesiologists' classes, total transfusion rate, steroid medication, preoperative risk diseases, "giant spleens" or the time period during which the operations were performed. In 69%of the patients, the splenectomy was beneficial. During the long-term followup, 25 patients suffered from 59 infectious and thromboembolic episodes and 1 surgical complication. The dominating causes of death were the primarydisease (29%), myocardial infarction (20%), sepsis (12%) and cerebrovascular lesions (12%), i.e. not directly related to late effects of the operation. Conclusion: Highrisk patients older than 65 years with haematological disorders can safely undergo splenectomy with a low mortality rate and a reasonable rate of morbidity. The long-term course demonstrates a fair responserate, minimal surgically related complications, but thromboembolic and infectious events, and the majority of deaths unrelated to late effects of thesplenectomy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 12:55:26