Abstract
Spleen is a critical immune organ with anti-infection and immune functions. Overwhelming post-splenectomy infection (OPSI) is a deadly infection due to weakened immunity after splenectomy, and the pathogenic bacteria mainly include Streptococcus pneumoniae, Haemophilus influenzae type B, and Neisseria meningitidis. A study found that the morbidity of OPSI in patients after splenectomy is 5% (including short-term and long-term morbidity), and the mortality is 200 times higher than normal people [1]. Another study published in Lancet found that 33% patients after splenectomy would receive hospitalization treatment in 10 years due to infection of various reasons [2]. Furthermore, many long-term complications of splenectomy have been reported as follows: pulmonary arterial hypertension, atherosclerosis, coronary heart disease, and tumor [3, 4]. Meanwhile, secondary thrombocytosis and hemodynamic changes after splenectomy would increase the risk of thrombosis in splenic vein, portal vein, and mesenteric vein [5]. In general, an increasing number of surgeons have attached importance to reserve spleen function and various ways to preserve the spleen functions have been found.
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Li, Y., Wang, X., Wang, J., Chen, K., Peng, B. (2021). Laparoscopic Partial Splenectomy. In: Peng, B. (eds) Laparoscopic Surgery of the Spleen. Springer, Singapore. https://doi.org/10.1007/978-981-16-1216-9_8
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DOI: https://doi.org/10.1007/978-981-16-1216-9_8
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