Splenectomia

indicatii 1
1. Anomaliile congenitale splina mobila cu risc de torsiune
splenica
2. Traumatismele splenice
- ruptura splenica,
- hematom perisplenic
- hematom subcapsular
3.Splenopatii vasculare
- anevrismele arterei splenice
- fistula arterio-venoasa splenica
- hipertensiunea portala
- infarctele splenice
- embolice (valvulopatii, endocardite,infarct
miocardic, anevrisme)
- prin blocarea ciculatiei splenice (anemia falcipara,
leucemia mieloida cronica, policitemia vera, limfoame, osteomielofibroza, periaterita
nodoasa)
Splenectomia
indicatii 2
4. Afectiuni hematologice
A. Anemii hemolitice
1. sferocitoza ereditara (boala Minkowscky Chauffard)
2. eliptocitoza ereditara
3. piropoichilocitoza ereditara
4. talasemia majora
5. anemia falcipara
6. alte anemiihemolitice congenitale rare (hidrocitoza, xerocitoza,anemia
diseritropoetica, anemii prin deficit enzimatic, porfiria eritropoetica)

Splenectomia
indicatii 3
B. Anemii hemolitice autoimune
1. purpura trombocitopenica imuna
2. purpura trombocitopenica trombotica
3. neutropenia splenica primitiva (boala Wieseman si Donan)
4. pancitopenia splenica primitiva (boala Donan si Wright)
5. poliartrita reumatoida avansata (sd. Felty)



Splenectomia
indicatii 4
C. Bolile mieloproliferative
1. leucemia granulocitara cronica
2. metaplazia mieloida
D. Bolile limfoproliferative
1. leucemia limfatica cronica
2. leucemia cu celule paroase
3. limfoamele maligne de tip Hodgkin sau de tip nonHodgkin
Splenectomia
indicatii 5
5. Bolile de stocaj
1. boala Gaucher (depunere de glucocerebrozide)
2. boala Niemann Pick (depunere de sfingomielina)
6. Bolile infectioase si parazitare ale splinei
1. abcesele splenice (pogene sau fungice)
2. tuberculoza splinei
3. sifilisul splinei
4. chistul hidatic splenic

Splenectomia
indicatii 6
8. Tumorile chistice ale splinei
1. chisturi parazitare chistul hidatic splenic
2. chiste neparazitare adevarate
2.1. congenitale (mezoteliale sau seroase)
2.2. neoplazice 2.2.1. epiteliale 2.2.1.1. dermoide
2.2.1.2. epidermoide
2.2.2. endoteliale 2.2.2.1. hemangioame
chistice
2.2.2.2. limfongioame chistice
3. chiste neparazitare secundare
3.1. posttraumatice (pseudochisturi)
3.2. degenerative (postnecrotice)
3.3. inflamatorii (abcese)

Splenectomia
indicatii 7
9. Tumorile solide ale splinei Benigne
1. Disembrioplazii 1.1. hamartom
2. Vasculare 2.1. hemangiom
2.2. limfangiom
2.3. hemangio-endoteliom
2.4. hemangio-pericitom
3. Altele 3.1. lipom (angiolipom, mielolipom)
3.2. fibrom
3.3. condrom
3.4. osteom
3.5. leiomiom

Splenectomia
indicatii 8
10. Tumorile solide ale splinei Maligne Primare
1. Vasculare 1.1. hemangio sarcom
1.2. limfangio sarcom
1.3. hemangio-endotelio sarcom
1.4. hemangio pericitom malign
2. Pulpa Alba 2.1. limfom gigantofolicular (Brill Symers)
2.2.limfosarcom (limfocitic sau limfoblastic)
2.3. plasmocitom
3. Pulpa Rosie 3.1. reticulosarcom
3.2. histiocitom malign
4. Alte tumori 4.1 teratom malign
4.2fibrosarcom
4.3 leiomiosarcom
4.4 sarcom Kaposi



Splenectomia
indicatii 9
11. Tumorile solide ale splinei Maligne
Secundare (metastatice)
1.Sarcoame abdominale
2. Carcinoame (melanoame, cancer bronhopulmonar, mamar,
pancreatic, ovarian)
3. Cancere locoregionale prin invazie directa (stomac, coada
pancreasului, unghiul colic sting)
Splenectomia

Splenectomia

Splenectomia

Splenectomia
complicatii
I. Imediate
1. hemoragia
2. infectii postoperatorii
3. febra postoperatorie
4. pancreatita acuta
5. complicatiile tromboembolice

II. Tardive
1. infectii minore
2. sepsisul sistemic fulminant