Journal article
Splenectomy Complicating Left Nephrectomy
The Journal of urology, Vol.155(1), pp.30-36
01/1996
DOI: 10.1016/S0022-5347(01)66530-3
PMID: 7490874
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%) 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.
Details
- Title: Subtitle
- Splenectomy Complicating Left Nephrectomy
- Creators
- Christopher S. Cooper - University of IowaMichael B. Cohen - University of IowaJames F. Donovan - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of urology, Vol.155(1), pp.30-36
- DOI
- 10.1016/S0022-5347(01)66530-3
- PMID
- 7490874
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Language
- English
- Date published
- 01/1996
- Academic Unit
- Stead Family Department of Pediatrics; Pathology; Urology; Medicine Administration
- Record Identifier
- 9984320060702771
Metrics
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