Summary
The role played by the spleen in the immunological defence against infection is well known. The authors have carried out an anatomical and experimental study on the vascular segmentation of the spleen, on which they base the technique of controlled partial splenectomy. They emphasise that in 300 splenorraphies and partial splenectomies collected in 1979 from the literature by Morgenstein, no case necessitated further surgical intervention for removal of remaining spleen.
Résumé
Le rôle joué par la rate dans la défense immunologique contre l'infection est bien connu. Les auteurs font une étude de la segmentation vasculaire de la rate, anatomique et expérimentale, à partir de laquelle est décrite la technique d'une splénectomie partielle réglée. Ils rappellent que sur 300 splénorraphies et splénectomies partielles colligées en 1979 dans la littérature par Morgenstein, aucune réintervention pour complément d'exérèse n'est signalée.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Aronzo DZ, Scherz AW, Einhorn AH, Becker JM, Schneider KM (1977) Nonoperative management of splenic trauma in children: a report of six consecutive cases. Pediatrics 60:482–485
Belfanz JR, Nesbit ME Jr, Jarvis C (1976) Overwhelming sepsis following splenectomy for trauma. J Pediatr 88:458
Benjamin JT, Komp DM, Shaw A (1978) Alternatives to total splenectomy: two case reports. J Pediatr Surg 13:137
Bodon GR, Verzosa ES (1967) Incidental splenic injury: is splenectomy always necessary. Am J Surg 113:303–304
Bourgeon R, Mouiel J (1966) La chirurgie conservatrice de la rate: splénorraphie, splénectomie partielle. Presse Med 74:303
Braithwaite JL, Adams DJ (1956) Vascular compartments in the rat spleen. Nature pp 1178–1179
Burrington JD (1977) Surgical repair of a ruptured spleen in children. Arch Surg 112:417–419
Campos Christo M (1960) Splénectomies partielles réglées. A propos de trois cas opérés. Presse Med 68:485–486
Campos Christo M (1962) Segmental resections of the spleen. O Hospital (Rio) 62:187–204
Cayotte JL, Renard M, Rossinota, Kaiffer M, Massotte JL, Hilly JP (1970) Essai sur l'organisation vasculaire de la rate. CR Assoc Anat (Congrès de Nancy) 197:591–661
Cioffiro W, Schein CJ, Gliedman ML (1976) Splenic injury during abdominal surgery. Arch Surg 111:167–171
Clausen E, Cited by Goldby F, Harrison PJ (1961) Recent advances in anatomy, 2nd ed. JA Churchill Ltd, London, p 392
Cooney DR, Dearth JC, Swanson SE (1979) Relative merits of partial splenectomy, splenic reimplantation, and immunization in preventing postsplenectomy infection. Surgery 86:561–569
Conney DR, Swanson SE, Dearth JC (1979) Heterotoptic splenic autotransplantation in prevention of overwhelming postsplenectomy infection. J Pediatr Surg 14:336
Crosby WH, Benjamin NR (1961) Frozen spleen reimplanted and challenged with Bartonella. Am J Pathol 39:119
De Boer J, Sumner-Smith G, Downie HG (1972) Partial splenectomy technique and some hematologic consequences in the dog. J Pediatr Surg 7:378–381
Diamond LK (1969) Splenectomy in childhood and the hazard of overwhelming injection. Pediatrics 43:886–889
Dixon JA, Miller F, Closkey McD, Siddoway J (1980) Anatomy and techniques in segmental splenectomy. Surg Gynecol Obstet 150:516–520
Douglas GJ, Simpson JS (1971) The conservative management of splenic trauma. J Pediatr Surg 6:565–570
Eraklis AJ, Kevy SV, Diamond LK (1967) Hazard of overwhelming infection after splenectomy in children. N Engl J Med 276:1225–1229
Eraklis AJ, Fuller RM (1972) Splenectomy in childhood: a review of 1413 cases. J Pediatr Surg 7:382–388
Erickson WD, Burgert EO Jr, Lynn HB (1968) The hazard of infection following splenectomy in children. Am J Dis Child 116:1–4
Goldby F, Harrison PJ (1961) Recent advances in anatomy, 2nd ed. JA Churchill Ltd, London, p 392
Grosfeld JL, Ranochak JE (1976) Are hemisplenectomy and or primary splenic repair feasible? J Pediatr Surg 11:419
Gupta C, Gupta S, Arora A, Singh P (1976) Vascular segments in human spleen. J Anat 121:613–616
Gutierrez Cabillos C (1969) Segmentation of the spleen. Rev Esp Enferm Apar Dig 29:341–350
Halier AJ, Jones EL (1966) Effect of splenectomy on immunity and resistance to major infections in early childhood. Clinical and experimental study. Ann Surg 163:902
Joseph TP, Wyllie GG, Savage JP (1977) The non-operative management of splenic trauma. J Surg 47:179
King H, Schumaker HB Jr (1952) Splenic studies. I. Susceptibility to infection after splenectomy performed in infancy. Ann Surg 136:239–242
La Mura J, Chung-Fat SP, Anthony J (1977) Splenorraphy for the treatment of splenic rupture in infants and children. Surgery 81:497–501
Likhite VV (1975) Opsonin and leukophilicy globulin in chronically splenectomised rats with and without heterotropic autotransplanted splenic tissue (letter to editor). Nature 253:742
Likhite VV (1976) Immunological impairment and susceptibility to infection after splenectomy. JAMA 236:1376–1377
Matsuyama S, Suzuki N, Nagamachi Y (1976) Rupture of the spleen in the newborn: treatment without splenectomy. J Pediatr Surg 11:115–116
Michels NA (1942) The variational anatomy of the spleen and splenic artery. Am Anat 70:21–73
Michels NA (1955) Blood supply and anatomy of the upper abdominal organs. JB Lippincott Company, Philadelphia, Montreal
Mishalany HG (1974) Repair of the ruptured spleen. J Pediatr Surg 9:175–178
Mishalany HC, Mahour GH, Andrassy RJ, Harrisson MR, Wolley MM (1978) Modalities of preservation of the traumatized spleen. Am J Surg 136:697–700
Morgenstern L (1965) Experimental partial splenectomy. Am Surg 31:709
Morgenstern L (1974) Microcrystalline collagen used in experimental splenic injury. Arch Surg 109:44–47
Morgenstern L (1977) The ovoidable complications of splenectomy. Surg Gynecol Obstet 145:525–528
Morgenstern L, Kahn FH, Weinstein IM (1966) Subtotal splenectomy in myelofibrosis. Surgery 60:336–339
Morgenstern L, Shapiro SJ (1979) Techniques of splenic conservation. Arch Surg 114:449–454
Najjar VA, Nishioka K (1970) “Tuftsin”, a physiological phagocytosis-stimulating peptide. Nature 228:672
Neder AM (1958) Estudo anatômico sobre as zonas venosas lienais e sua drenagem no Homen. Tese de doutoramento na càtedra de anatomia de Faculdade de Medicina da Universidade de Minas Gerais, Belo Horizonte, Brasil
Nguyen Huu (1952) Les territoires artériels de la rate par la méthode des injections plastiques. CR Assoc Anat pp 870–877. Arch Mal Coeur Vais 9:792–799
Nguyen Huu (1953) Distribution intra-parenchymateuse des artères de la rate. Presse Med 61:1308–1309
Nguyen Huu (1956) Territoires artériels de la rate. Etude expérimentale. Possibilités de résection partielle réglée de la rate. Presse Med 76:63–64
Nguyen Huu (1958) Territoires artériels de la rate. Etude expérimentale. Arch Anat Path 34:53–59
Nguyen Huu (1959) Territoire artériel de la rate. Possibilités de résection partielle réglée de la rate. Bull Soc Int Chir 18:31–38
Nguyen Huu, Tran Anh, Bui Mong Hung (1959) La voie thoraco-abdominale antérieure de Garlock et Lortat Jacob, adaptée aux ablations des grosses splénogémalies fixées. Acta Med Vietn 3:735–748
Orda R, Wizniter T, Goldberg G (1974) Repair of hepatic and splenic injury by autoplastic peritoneal patches and butyl-2-cyanoacrylate monomer: an experimental study. J Surg Res 17:365–374
Orlando JC, Moore TC (1972) Splenectomy for trauma in children. Surg Gynecol Obstet 134:94–96
Parolari JB (1957) Segmentaçào arterial do baço. Foglia Biol 27:161–165
Pearson HA, Johnston D, Smith KA, Touloukian RJ (1978) The born-again spleen: return of splenic function after splenectomy for trauma. N Engl J Med 298:1389–1392
Praderi LA (1955) Distribucion vascular intraesplénica. Segmentacion. Anastomosis vascularis. VI Congreso Uruguayo de Cirugia, Montevideo, p 342
Ratner MH, Garrow E, Valda V (1977) Surgical repair of the injured spleen. J Pediatr Surg 12:1019–1025
Robinette CD, Fraumeni JF Jr (1977) Splenectomy and subsequent mortality in veterans of the 1939-45 war. Lancet 2:127–129
Schwartz AD, Goldthorn JF, Winkelstein JA (1978) Lack of protective effect of autotransplanted splenic tissue to pneumococcal challenge. Blood 51:475–478
Shafir R, Dinbar A, Wolzstein I (1975) Nonoperative treatment of splenic injury: report of a case. J Trauma 15:935–936
Simpson DGJ (1971) The conservative management of splenic trauma. J Pediatr Surg 6:565–570
Simionescu N, Aburel V, Ciobanu M, Curelaru I, Marin D (1960) Les segments artériels de la rate chez l'homme. Arch Anat Pathol 8:2–10
Singer DB (1973) Postsplenectomy sepsis. Perspect Pediatr Pathol 1:285–311
Smith CH, Erlander ME, Schulman I, Stern G (1957) Hazard of severe infection in splenectomized infants and children. Am J Med 22:390
Strauch GO (1973) Asplenia and lethal pneumococcal septicemia following supradiaphragmatic splenic transposition for Chiari's disease. J Pediatr Surg 8:63
Strauch GO (1979) Preservation of splenic function in adults and children with injured spleens. Am J Surg 137:478–483
Upadhyaya P, Nayak NC, Moitra S (1971) Experimental study of splenic trauma in monkeys. J Pediatr Surg 6:767
Walker W (1976) Splenectomy in childhood: a review in England and Wales, 1960–64. Br J Surg 63:36–42
Wolfgang Ruf, Pon D, Pressler V, McNamara JJ (1979) Surgical technic for treatment of splenic rupture. Am J Surg 137:603–607
Zappala A (1959) Contribuiçào para o estudo da anatomia dos vasos e das “zonas vasculares lienais”. Dados anatômicos no Homen e expérimentais no Cào para aplicaçào na “lienectomia” parcial. Tese de Concurso de Professor Catedratico da Cadeira de Anatomia da Faculdade de Medicina da Universidade do Recife, Belo Horizonte, Brasil
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Huu, N., Person, H., Hong, R. et al. Anatomical approach to the vascular segmentation of the spleen (lien) based on controlled experimental partial splenectomies. Anat. Clin 4, 265–277 (1982). https://doi.org/10.1007/BF01798555
Issue Date:
DOI: https://doi.org/10.1007/BF01798555