Abstract
Splenectomy is often considered for children with various benign and malignant conditions. Total splenectomy (TS) or partial splenectomy (PS) can safely be performed in children with minimal risks, although understanding the indications, expected benefits, and risks of splenectomy is essential in the planning process for surgery.
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Bansal S, Karrer FM, Hansen K, et al. Contrast blush in pediatric blunt splenic trauma does not warrant the routine use of angiography and embolization. Am J Surg. 2015;210(2):345–50. https://doi.org/10.1016/j.amjsurg.2014.09.028.
Bhatt NS, Bhatt P, Donda K, et al. Temporal trends of splenectomy in pediatric hospitalizations with immune thrombocytopenia. Pediatr Blood Cancer. 2018;65(7):e27072. https://doi.org/10.1002/pbc.27072.
Bolton-Maggs PH, Langer JC, Iolascon A, et al. Guidelines for the diagnosis and management of hereditary spherocytosis—2011 update. Br J Haematol. 2011;156:37–49.
Buesing KL, Tracy ET, Kiernan C, et al. Partial splenectomy for hereditary spherocytosis: a multi-institutional review. J Pediatr Surg. 2011;46:178–83.
Davies JM, Lewis MPN, Wimperis J, et al. Review of guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen. Br J Haematol. 2011;155:308–17.
Guizzetti L. Total versus partial splenectomy in pediatric hereditary spherocytosis: a systematic review and meta-analysis. Pediatr Blood Cancer. 2016;63(10):1713–22. https://doi.org/10.1002/pbc.26106.
Hall, BJ, Reiter, AJ, Englum, et al. Long-term hematologic and clinical outcomes of splenectomy in children with hereditary spherocytosis and sickle cell disease. Pediatr Blood Cancer 2020; 67:e28290. https://doi.org/10.1002/pbc.28290.
Iolascon A, Andolfo I, Barcellini W, et al. Recommendations regarding splenectomy in hereditary hemolytic anemias. Haematologica. 2017;102(8):1304–13. https://doi.org/10.3324/haematol.2016.161166.
Miyata S, Cho J, Matsushima K, et al. Association between pediatric blunt splenic injury volume and the splenectomy rate. J Pediatr Surg. 2017;52(11):1816–21. https://doi.org/10.1016/j.jpedsurg.2017.02.007.
Rice HE, Crary SE, Langer JC, et al. Comparative effectiveness of different types of splenectomy for children with congenital hemolytic anemias. J Pediatr. 2012;60:684–9.
Rice HE, Englum BR, Rothman J, et al. Clinical outcomes of splenectomy in children: report of the splenectomy in congenital hemolytic anemia (SICHA) registry. Am J Hematol. 2015;90:187–92.
Utria AF, Goffredo P, Keck K, et al. Laparoscopic splenectomy: has it become the standard surgical approach in pediatric patients? J Surg Res. 2019;240:109–14. https://doi.org/10.1016/j.jss.2019.02.045.
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Commander, S.J., Tracy, E.T., Rice, H.E. (2022). Surgical Disorders of the Spleen. In: Mattei, P. (eds) Fundamentals of Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-07524-7_99
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DOI: https://doi.org/10.1007/978-3-031-07524-7_99
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