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• W2152704974 abstract "No AccessJournal of UrologyClinical Urology: Original Article1 Jan 1996Splenectomy Complicating Left Nephrectomy Christopher S. Cooper, Michael B. Cohen, and James F. Donovan Christopher S. CooperChristopher S. Cooper More articles by this author , Michael B. CohenMichael B. Cohen More articles by this author , and James F. DonovanJames F. Donovan More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66530-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We attempted to clarify the details of incidental splenectomy complicating left nephrectomy. Materials and Methods: We reviewed the literature and operations involving splenectomy performed during left nephrectomy between 1984 and 1994 at our university. Factors reviewed included patient characteristics, renal pathology, mechanisms of injury, blood transfusions and postoperative complications. Results: Of the 418 left nephrectomies 18 (4.3 percent) resulted in splenectomy via a transperitoneal approach. Patients with a large or upper pole renal lesion, malignancy or advanced age are increasingly likely to undergo unanticipated splenectomy. Conclusions: Our results, combined with recommendations from the Centers for Disease Control and Prevention, suggest that all patients older than 65 years undergoing left transperitoneal nephrectomy or those at increased risk for splenic injury should receive preoperative pneumococcal vaccination. References 1 : Iatrogenic splenic injury. Amer. J. Surg.1990; 159: 585. Google Scholar 2 : Incidental splenectomy: a review of the literature and the New York Hospital experience. Ann. Surg.1976; 183: 124. Google Scholar 3 : Surgical injury to the spleen. Surg., Gynec. & Obst.1970; 131: 57. 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Google Scholar 46 : Impaired human antibody response to the thymus-independent antigen, DNP-Ficoll, after splenectomy. Implications for post-splenectomy infections. Lancet1985; 1: 1008. Google Scholar Departments of Urology and Pathology, University of Iowa and Veterans Affairs Medical Center, Iowa City, Iowa.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byCANBY-HAGINO E, MOREY A, JATOI I, PERAHIA B and BISHOFF J (2018) FIBRIN SEALANT TREATMENT OF SPLENIC INJURY DURING OPEN AND LAPAROSCOPIC LEFT RADICAL NEPHRECTOMYJournal of Urology, VOL. 164, NO. 6, (2004-2005), Online publication date: 1-Dec-2000. Volume 155Issue 1January 1996Page: 30-36 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.Metrics Author Information Christopher S. Cooper More articles by this author Michael B. Cohen More articles by this author James F. Donovan More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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