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Updated: Jan 30, 2026
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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
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Splenectomy in patients older than 65 years - a single-center experience
Summary
Splenectomy in patients over 65 is linked to high complication and mortality rates. However, elective splenectomy or splenectomy for single trauma offers a good prognosis for seniors.
Area of Science:
- Geriatric Surgery
- Surgical Oncology
- Trauma Surgery
Background:
- Splenectomy is a common procedure, even with conservative splenic injury management.
- Non-traumatic splenectomies are increasingly frequent in elderly patients.
- Age-related data on splenectomy complications and lethality are limited.
Purpose of the Study:
- To evaluate splenectomy outcomes in patients aged 65 and older.
- To analyze reasons for splenectomy in geriatric patients.
- To compare complication and lethality rates based on splenectomy indications.
Main Methods:
- Retrospective analysis of patients over 65 undergoing splenectomy over 11 years.
- Evaluation of demographics, indications, comorbidities, hospital stay, complications, and lethality.
- Separate analysis of trauma versus non-trauma splenectomy groups.
Main Results:
- 57 splenectomies (21.2%) were performed in patients over 65.
- Lethality was 29.8% and complications occurred in 57.9% of elderly patients.
- Non-traumatic indications included perioperative injury, rupture, splenomegaly, and splenic artery aneurysm.
Conclusions:
- Splenectomy in patients over 65 carries significant risks of complications and mortality.
- Elderly patients undergoing elective splenectomy or splenectomy for monotrauma have a favorable prognosis.
- Geriatric surgery requires careful consideration of splenectomy indications and patient comorbidities.
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