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- W2002136181 abstract "BY studying 40 patients with helical CT scans performed preoperatively and on the sixth postoperative day after laparoscopic splenectomy, Danno and co-workers documented an alarmingly high incidence of portal-splenic vein thrombosis (PSVT) in their patients. More than half of the patients had PSVTand most had clot beyond the distal splenic vein. However, the great majority of patients were asymptomatic; only 4 patients had symptoms--2 with fever and 2 with fever plus vague abdominal pain. The possibility of propagation of PSVT to potentially life-threatening portal-mesenteric thrombosis led the authors to treat all patients with CT-detected PSVT with 3--6 months of postoperative anticoagulation. Anticoagulation successfully eliminated thrombosis from the portal-splenic system in all patients, except for 5 patients who had remaining thrombosis in the distal splenic vein. No patient developed portal or mesenteric thrombosis. These findings imply that the majority of patients undergoing laparoscopic splenectomy develop PSVT and require anticoagulation postoperatively, a radical change in current management of these patients. The authors make recommendations concerning selection of patients who should be screened postoperatively with CT scans. The only preoperative factor correlating with postoperative PSVT was splenic vein diameter. None of 4 patients with splenic vein diameter less" @default.
- W2002136181 created "2016-06-24" @default.
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- W2002136181 date "2009-05-01" @default.
- W2002136181 modified "2023-09-27" @default.
- W2002136181 title "Commentary: Diameter of splenic vein is a risk for portal or splenic vein thrombosis after laparoscopic splenectomy" @default.
- W2002136181 doi "https://doi.org/10.1016/j.surg.2009.02.006" @default.
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