Erkrankungen der Milz bei Kindern und Jugendlichen: Chirurgische Therapie

Living reference work entry
Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Die Milz (Splen, Lien) ist ein Blutfilterorgan mit immunologischer Kompetenz. Asplene Kleinkinder sind im besonderen Maße infektgefährdet. Somit sind bei Milzverletzungen heute organerhaltende Therapieformen gefordert und stehen im Vordergrund. Weitere Aspekte der Milzchirurgie beinhalten heute die laparoskopischen Eingriffe, die Milzteilresektionen und die Autotransplantation (Drenckhahn und Zenker 1994). Im Gegensatz zu den parenchymsparenden Eingriffen sind bei bestimmten hämatologischen Erkrankungen drastische Reduktionen bzw. auch die Entfernung des Milzparenchyms notwendig. Bei den hämatologisch indizierten Milzteilresektionen gilt es einerseits immunologisch suffizientes Restparenchym zu erhalten, andererseits die anämisierende Filtrationsfunktion aufzuheben.

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© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Kinderchirurgische AbteilungSMZ-Ost DonauspitalWienÖsterreich

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