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Klimenko E.S.

National Research Center for Hematology

Danishyan K.I.

National Research Center for Hematology

Soboleva O.A.

National Research Center for Hematology

Zozulya N.I.

National Research Center for Hematology

Kitsenko E.A.

National Research Center for Hematology;
Laboratory of Emergency Surgery and Portal Hypertension — Petrovsky Russian Research Center of Surgery

Perioperative complications of splenectomy in hematological patients

Authors:

Klimenko E.S., Danishyan K.I., Soboleva O.A., Zozulya N.I., Kitsenko E.A.

More about the authors

Journal: Endoscopic Surgery. 2025;31(2): 56‑64

DOI: 10.17116/endoskop20253102156

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Table of contents

PERIOPERATIVE COMPLICATIONS OF SPLENECTOMY IN HEMATOLOGICAL PATIENTS
PERIOPERATIVE COMPLICATIONS OF SPLENECTOMY IN HEMATOLOGICAL PATIENTS

To cite this article:

Klimenko ES, Danishyan KI, Soboleva OA, Zozulya NI, Kitsenko EA. Perioperative complications of splenectomy in hematological patients. Endoscopic Surgery. 2025;31(2):56‑64. (In Russ.)
https://doi.org/10.17116/endoskop20253102156

Подписка 2025-2 (Endoscopic Surgery)
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OBJECTIVE

To present the current stock of knowledge about perioperative complications of splenectomy for hematological disorders.

KEY ISSUES

The use of minimally invasive technologies in hematological surgery has reduced the incidence of intra- and postoperative complications. However, both laparoscopic and open splenectomy are associated with technical difficulties in patients with blood diseases. Splenectomy is significantly complicated by severe splenomegaly, perisplenitis, portal hypertension, hemostatic disorders, severity of the hematological disease and the initial somatic condition of patients. Regardless of the selected approach, surgical (bleeding, pancreatic tail injury, pancreatic fistula, subdiaphragmatic abscess, etc.) and non-surgical (infections, portal system thrombosis) complications may develop in the perioperative period.

CONCLUSION

Topographic and anatomical characteristics of the spleen, experience of the surgical team, as well as general condition of patients and the course of underlying disease and treatment modality play critical role in the development of perioperative complications.

Keywords:

splenectomy
intraoperative complications
postoperative complications
portal vein thrombosis
hematological disorders

Authors:

Klimenko E.S.

National Research Center for Hematology

Danishyan K.I.

National Research Center for Hematology

Soboleva O.A.

National Research Center for Hematology

Zozulya N.I.

National Research Center for Hematology

Kitsenko E.A.

National Research Center for Hematology;
Laboratory of Emergency Surgery and Portal Hypertension — Petrovsky Russian Research Center of Surgery

Received:

11.11.2024

Accepted:

10.12.2024

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