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Correspondence and Brief Communications | June 01, 2007

Postsplenectomy Portal, Mesenteric, and Splenic Vein Thrombosis

Mike K. Liang, MD; Jenifer L. Marks, MD

Arch Surg. 2007;142(6):575. doi:10.1001/archsurg.142.6.575-a.

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We read with great interest the article “Prospective study of the incidence and risk factors of postsplenectomy thrombosis of the portal, mesenteric, and splenic veins,” by Stamou et al.¹ There has been increasing concern that laparoscopic surgery may increase the risk of mesenteric and portal venous thrombosis.²^- 3 In the prospective controlled trial by Ikeda et al² of laparoscopic vs open splenectomy followed by postoperative computed tomographic scans, they demonstrated a 55% (laparoscopic) vs 19% (open) incidence of postoperative portal venous thrombosis. Romano et al,³ in their prospective uncontrolled trial, demonstrated a 19% incidence of postoperative portal venous thrombosis detected by ultrasound.

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K. Liang M, Marks JL. Postsplenectomy Portal, Mesenteric, and Splenic Vein Thrombosis. Arch Surg. 2007;142(6):575. doi:10.1001/archsurg.142.6.575-a.

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