PVT after splenectomy (original) (raw)

Canadian journal of surgery. Journal canadien de chirurgie, 2006

Abstract

I read with interest the article on the incidence of portal vein thrombosis (PVT) after laparoscopic splenectomy (Can J Surg 2005;48:352-4).1 I agree with the authors' assumption that the frequency of PVT after laparoscopic splenectomy is just as high as that after open splenectomy. I believe that the laparoscopic procedure per se has no bearing on the occurrence of PVT, which is found mainly in patients who undergo splenectomy for benign and malignant hematologic conditions. I also believe that PVT is more likely to occur after splenectomy if the postsplenectomy platelet count is greater than 1000 × 109/L, although it may occur at lower counts as the authors have indicated. In a review of 55 patients who underwent open splenectomy for various indications in our unit, only 2 (3.6%) had PVT; both had portal hypertension, and splenectomy was performed as part of an emergency devascularization procedure for bleeding esophageal varices.2 PVT should be suspected in any patient who is...

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