The clinical analysis of surgical treatment of severe adhesive megalosplenia

Objective To smmarize the operative treatments of 59 cases with severe adhesive megalosplenia.Methods According to the 59 operated cases of severe adhesive megalosplenia cases were collected in our hospital from January 1998 to December 2010,the preoperative information,pathological features,special measures of intraoperative,the treatment of Postoperative complications and the clinical efficacy were retrospectively analyzed.Results The 59 cases were all clinically cured without any death or serious complications such as gastrointestinal perforation,etc.The 15 of 59 cases were occurred mild complication(ulmonary infection,atelectasis,ascite and splenic phlebothrombosis),which occupied 25.4% of the 59 cases.Conclusion The careful evaluation before operation,standardized operative procedure,reasonable,effective dissection of perisplenic adhesion and the splenic peduncular cut,are the key roles to ensure the successful surgical adhesiectomy of severe megalosplenia.