{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T14:57:17Z","timestamp":1761058637401},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[1993,3,1]],"date-time":"1993-03-01T00:00:00Z","timestamp":730944000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1993,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Forty-seven patients who underwent splenectomy for splenomegaly \u2a7e1000 g were studied retrospectively. There were 29 men and 18 women of mean age 56 (range 19\u201387) years. Haematological malignancy was the most common disorder (42 patients). The main indications for splenectomy were cytopenia (20 patients), diagnosis (14), initial treatment of leukaemia (eight), pain (four) and spontaneous rupture (one). Thirteen patients underwent an associated surgical procedure. One patient died (mortality rate 2 per cent) and 12 (26 per cent) had postoperative complications. The advantages of splenectomy included histopathological diagnosis in 13 of 14 patients with splenomegaly of unknown origin, effective initial treatment in prolymphocytic and hairy cell leukaemia, definitive relief of pain in all affected patients, and long-term improvement of cytopenia in most.<\/jats:p>","DOI":"10.1002\/bjs.1800800322","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T17:50:27Z","timestamp":1172944227000},"page":"334-335","source":"Crossref","is-referenced-by-count":19,"title":["Splenectomy for splenomegaly exceeding 1000 grams: Analysis of 47 patients"],"prefix":"10.1093","volume":"80","author":[{"given":"J-P","family":"Letoquart","sequence":"first","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale A, Centre Hospitalier et Universitaire de Rennes, H\u01d2pital Sud , 16 Boulevard de Bulgarie, BP 56 129, 35 056 Rennes Cedex,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"La Gamma","sequence":"additional","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale A, Centre Hospitalier et Universitaire de Rennes, H\u01d2pital Sud , 16 Boulevard de Bulgarie, BP 56 129, 35 056 Rennes Cedex,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Kunin","sequence":"additional","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale A, Centre Hospitalier et Universitaire de Rennes, H\u01d2pital Sud , 16 Boulevard de Bulgarie, BP 56 129, 35 056 Rennes Cedex,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Grosbois","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine Interne et H\u00e9matologie, Centre Hospitalier et Universitaire de Rennes, H\u01d2pital Sud , 16 Boulevard de Bulgarie, BP 56 129, 35 056 Rennes Cedex,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Mambrini","sequence":"additional","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale A, Centre Hospitalier et Universitaire de Rennes, H\u01d2pital Sud , 16 Boulevard de Bulgarie, BP 56 129, 35 056 Rennes Cedex,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Leblay","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine Interne et H\u00e9matologie, Centre Hospitalier et Universitaire de Rennes, H\u01d2pital Sud , 16 Boulevard de Bulgarie, BP 56 129, 35 056 Rennes Cedex,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1993,3,1]]},"reference":[{"key":"2024092811541085400_bib1","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/0002-9610(78)90071-5","article-title":"Splenectomy for massive 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