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Total splenic vein thrombosis after laparoscopic splenectomy: a possible candidate for treatment
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Total splenic vein thrombosis after laparoscopic splenectomy: a possible candidate for treatment
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Journal Article
Total splenic vein thrombosis after laparoscopic splenectomy: a possible candidate for treatment
2007
Overview
Portal or splenic vein thrombosis (PSVT) is a common disorder after laparoscopic splenectomy (LS). Splenomegaly is a well-known risk factor for PSVT. However, no treatment strategy for PSVT has been established.
Thirty-three consecutive patients who had undergone LS and postoperative imaging surveillance were examined. PSVT was classified according to the site of thrombosis. We evaluated patient background, operative factors, and clinical symptoms.
Spleen weight of patients with PSVT (n = 17, median 218 g) was greater than that of patients without PSVT (n = 16, median 101 g). Seven patients developed thrombosis involving the entire splenic vein (total splenic vein thrombosis), and 4 of them had clinical symptoms (fever >38°C and/or abdominal pain). The incidence of clinical symptoms was significantly more frequent in patients with than without total SVT. Operation time, blood loss, and spleen weight were also significantly greater in patients with total SVT. Multiple logistic regression analysis demonstrated spleen weight was the strongest predictor of PSVT and total SVT.
Patients with total SVT have greater risk factors for PSVT and frequently have clinical symptoms. They are candidates for anticoagulation therapy.
Publisher
Elsevier Inc,Elsevier,Elsevier Limited
Subject
/ Adult
/ Age
/ Aged
/ Biological and medical sciences
/ Contrast-enhanced computed tomography scan
/ Female
/ Fever
/ Humans
/ Investigative techniques, diagnostic techniques (general aspects)
/ Laparoscopy - adverse effects
/ Lymphoma
/ Male
/ NMR
/ Pain
/ Portal or splenic vein thrombosis
/ Spleen
/ Splenectomy - adverse effects
/ Splenic Diseases - classification
/ Splenic Vein - diagnostic imaging
/ Surgery
/ Total splenic vein thrombosis
