Medical Archive

Splenic Anatomy

Splenic Function

Splenectomy

Primary – hematologic dx
Secondary – portal HTN ?

Benign Hematologic Conditions

Immune Thrombocytopenic Purpura

ITP – platelet count ?

Hereditary Spherocytosis

Hemolytic Anemia Caused by Erythrocyte Enzyme Deficiency

Hemoglobinopathies

Malignant Disease

Lymphomas

Leukemia

Nonhematologic Tumors of the Spleen

Miscellaneous Benign Conditions

Splenic cysts

Splenic Abscess

Wandering Spleen

Other Considerations

Splenic Trauma

Elective Laparoscopic Splenectomy

• Post splenectomy recur – Accessory spleen
  • 14-30%? ??. Splenic hilus(gastro-splenic lig)?? ?? ??.
  • Splenic scan ? ??? ????? ??.
  • Splenectomy ? Howell-Jolly body? ? ?? ? ??? ?? ??.

Robotic Splenectomy

Late Morbidity After Splenectomy

Vaccinations are typically administered >2 weeks after urgent splenectomy to ensure adequate humoral response.

• Atelectasis (esp. LLL)
• Overwhelming post-splenectomy infection (OPSI)
  • 4? ??, hematologic disease ? ??? ??, ?? Pneumococcus
  • Take amoxicillin-clavulanate immediately in the setting of fever ? proceed directly to the nearest emergency department.

Prophylactic Treatment of Splenectomized Patients

????: ??? 2? ? ?? ?? (PC, Hib, MC)
????: ?? ?? PC ?? ??. ?? 2? ?? Hib, MC ?? ??.
??? ???: ???? ? ? ? ??, by penicillin, for pneumococcal infection.