The diagnostic value of splenectomy in patients without a definitive preoperative diagnosis.
Am J Surg
; 217(1): 78-82, 2019 01.
Article
en En
| MEDLINE
| ID: mdl-29880389
ABSTRACT
BACKGROUND:
The purpose of this study was to describe the diagnostic value and therapeutic benefit of diagnostic splenectomy.METHODS:
Retrospective review was performed of patients undergoing splenectomy with an unknown diagnosis (UD), a hematologic malignancy (HM) or idiopathic thrombocytopenic purpura. Surgical indications and postoperative outcomes were evaluated.RESULTS:
113 splenectomy patients were identified. Of the UD patients undergoing splenectomy, 46% (nâ¯=â¯16) received a definitive diagnosis postoperatively. A change in diagnosis occurred in 12% (nâ¯=â¯4) of HM patients. Complete symptom relief was observed more often in UD patients who received a definitive diagnosis after splenectomy 69% (nâ¯=â¯11), compared to the 47% (nâ¯=â¯9) who did not receive definitive diagnosis postoperatively.CONCLUSIONS:
The diagnostic ability of splenectomy was 46% when the diagnosis was unknown preoperatively. Additionally, a majority of patients experienced relief of symptoms postoperatively. Splenectomy may be a useful diagnostic and therapeutic tool in select UD and HM patients.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Esplenectomía
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Púrpura Trombocitopénica Idiopática
/
Neoplasias Hematológicas
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Técnicas de Diagnóstico Quirúrgico
/
Linfoma
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Am J Surg
Año:
2019
Tipo del documento:
Article