文档介绍：Guidelines for Surgical Treatment of Pediatric Spleen Diseases
Introduction
The most frequent conditions requiring spleen surgery are hematological and immunological disorders, and trauma. Splenectomy represents the mon splenic procedure, but has potential disadvantages such as postsplenectomy sepsis in 1 in 100 patients.
The first report describing laparoscopic splenectomy in children was published in 1993 by Tulman and In general, the benefits of the laparoscopic technique are decreased postoperative pain, a shorter duration of postoperative ileus, a lower postoperative morbidity, and a shorter ,2,3 These benefits are also described with laparoscopic therapy of splenic cysts.
Definition
The normal adult spleen is about 12 cm long and 7 cm wide and weighs 100-200 g. In children, spleens four times larger than normal for age are considered massive. Splenomegaly may be caused by disorders of immunoregulation or splenic blood flow, diseases with abnormal erythrocytes, and infiltrative or infectious diseases.
The term hypersplenism (primary or secondary) applies to any clinical situation in which the spleen removes excessive quantities of erythrocytes, granulocytes, or platelets from circulation. Criteria for the diagnosis of hypersplenism include splenomegaly, splenic destruction of one or more cell lines, normal or hyperplastic cellularity of the b