Abstract
Splenic surgery has enjoyed rapid progress for the past decades in China. Based on continuously solidifying theories and clinical practice, many advanced concepts with applicable clinical frameworks have been established, thus making splenic surgery an indispensable division in modern surgery. In this study, the authors try to give an overview of the developments in this field. Spleen function is a key issue that generally guides advances in splenic surgery. The old knowledge of the “dispensable spleen” has been abandoned, while the exact role that it plays in the body continues to be unveiled. Now, standard grading for splenic injury and the respective guidelines for clinical management have been established, with the use of selective instead of indiscriminate splenectomy being accepted by most experts. Various spleen sparing operations have been developed, while many advanced techniques such as laparoscopy have been introduced to splenic surgery. Spleen transplantation has greatly advanced in China, even though there are still many unsolved mysteries in this field. Altogether, splenic surgery is a new and prosperous discipline, and it is a tremendous stage for young surgeons to be part of.
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References
Li Z F, Zhang Y, Gao J, Zhang P J, Wang J X, Liu X G. Expression and significance of Toll-like receptor 4 of splenic macrophage in patients with hypersplenism due to portal hypertension. Natl Med J China, 2004, 84(13): 1088–1091
Zhang Y, Li Z F, Sun X L, Wang J X, Su Q H, Liu X G. Splenic macrophage phagocytosis and hypersplenism in cirrhotic portal hypertensive patients. Chin J Gen Surg, 2005, 20(2): 115–116
Lu Z, Zhu Y L, He C L, Liu J X. Effect of the spleen on intestinal barrier function in rats with acute pancreatitis. Chin J Gen Surg, 2005, 14(5): 327–330
Yan J S, Cheng Y, Luo J F, Yu L. An experimental study on role of spleen in acute pancreatitis. Chin J Hepatobiliary Surg, 2005, 11(5): 335–337
Wang L, Han W, Zhou T, Yuan M B. Study of the role of spleen in idiopathic portal hypertension. Chin J Hepatol, 2006, 14(2): 133–134
Zhu A L, Jiang H C, Liu L X, Piao D X, Pan S H, Qiao H Q. The study on the morphology character of blood-spleen barrier. Chin J Surg, 2005, 43(9): 591–594
Zhou X L, Hu J, Zhang J F. The application of re-absorbable mesh wrap in splenic injury. Chin J Trauma, 2006, 22(1): 60–61
Wang J, Yu B L, Yuan Q X. The application of exsanguination in spleen rescuing operations for traumatic splenic rupture. Chin J Trauma, 2006, 22(1): 26
Zhang B, Jiang B J, Wang D Z, Xia Y, Zheng Y C. Prevention and management of iatrogenic splenic injuries. Chin J Pract Surg, 2004, 24(12): 731–732
Tan H T, Jiang H C. Prevention and management for iatrogenic splenic injury in gastrointestinal operations. Chin J Pract Surg, 2005, 25(9): 520–522
Jiang H C. The harm of iatrogenic injury in surgery involving digestive tract must be emphasized. Chin J Pract Surg, 2005, 25(9): 515–516
Zhang J F, Chen J S, Chen Y J, Zhang H W, Ao B D A, Zhang J, Huo J S. The influence of retroperitoneal splenic autografting upon the splenic immune function in hepatocirrhotic portal hypertension. Chin J Hepatobiliary Surg, 2005, 11(6): 423
Gao D M, Ma Q J. Efficacy evaluation of major splenectomy plus disconnection for the treatment of portal hypertention. Chin J Pract Surg, 2004, 24(12): 713–715
Zhang J F, Chen J S, Chen G H, Chen Y J, Zhang H W, Ao B D A, Zhang J, Huo J S. Spleen autotransplantation in retroperitoneum combined with lower esophagus transection in the treatment of hepatic cirrhosis induced portal hypertension: a study of 210 cases. Chin J Pract Surg, 2004, 24(12): 733–734
Xing B C, Sun Y, Bao Q, Qian H G, Hao C Y, Huang X F, Wang Y, Gu J, Ji J F. Spleen preserving distal pancreatectomy in treatment of solid pseudopapillary neoplasm. Natl Med J China, 2006, 86(10): 690–692
Liu Q, Shao Y F, Wang C F, Zhao P. The spleen preserving resection of the tumor of the body and tail of the pancreas. Chin J Hepatobiliary Surg, 2005, 11(4): 248–249
Wang W L, Gao L, Liang T B, Yao M Y, Lu A W, Zheng S S. Effects of splenectomy on patients under going liver transplantation. Natl Med J China, 2006, 86(18): 1240–1243
Sun W H, Hui X Z. Study of splenopancreatic-preserving dissection of No.10 and No.11 lymphatic nodes in radical resection for proximal gastric carcinoma. Chin J Gastrointest Surg, 2006, 9(2): 131–132
Lin C H, Qin H L. A spleno-pancreas preserving lymph node clearance in the radical resection of gastric carcinoma. Chin J Gen Surg, 2002, 17: 155–156
Ju X H, Zhang Y, Jiang W G, Xia Z L. Influence of bacterial infection on expression of nuclear factor-kappa B p65 after spleen-preservation operation in rabbits using microwave coagulation. World Chin J Digestol, 2006, 14(10): 1001–1003
Liu J H, Lv H T, Liu S G, Lu W Y, Liu R T, Shi Y M. Handling of splenic peduncle in laparoscopic excision of gigantic spleen. Chin J Exp Surg, 2005, 22(8): 980
Xu D H. Laparoscopic splenectomy. Chin J Surg, 2005, 43(15): 969–971
Mou Y P, Chen Q L, Xu X W, Wang G Y, Sun X D, Zhu L H, Zhu Y P, Yang P. Laparoscopic distal pancreatectomy with preservation of the spleen. Chin J Surg, 2006, 44(3): 200–201
Bao S J, Yu X F, Zheng J F, Ma Y, Liu J L, Zhang Z, Li M Y, Zhou H X. Spleen-sparing hand-assisted laparoscopic pancreatocaudal tumorectomy. China J Endosc, 2006, 12(3): 321–322
Jiang H C, Meng F Q. A proposal for combined transplantation of the liver and the spleen. Chin J Gen Surg, 2005, 14(7): 535–537
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Jiang, H., Zhao, X. & Gao, Y. Development of splenic surgery in China. Front. Med. China 1, 126–129 (2007). https://doi.org/10.1007/s11684-007-0024-4
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DOI: https://doi.org/10.1007/s11684-007-0024-4