[Splenectomy and sparing surgery of the spleen]

In 1958-1993 the authors made at the Second Surgical Clinic in Bratislava 357 splenectomies on account of haematological diseases and four conservative operations of the spleen. They consider it inevitable to seek accessory spleens and to drain the left subphrenic space. Analysis of long-term results revealed that clinical and laboratory remission was achieved in particular in lienal types of destruction. The authors draw attention to the possibility of preserving the spleen or its part in some lienal diseases such as pseudocysts and cysts of non-parasitic origin. In conservative operations of the spleen the use of the fibrin glue. Tissuecol, is of basic importance. It was shown that 25-30% of the original tissue suffices to preserve complete function of the spleen.