Abstract:

Splenomegaly is a common complication of portal hypertension and other diseases, leading to hypersplenism and coagulation abnormality, which will exert multiple effects on patients' health. At present, interventional therapy and surgery are the main treatment options for splenomegaly, among which splenectomy is the most effective procedure. In recent years, splenectomy is primarily performed under laparoscopy. Although multiple surgical approaches and perioperative management measures have been adopted to improve the safety of splenectomy, it is still likely to cause complications, such as abdominal bleeding and peripheral organ damage, etc. Interventional therapy followed by sequential surgery may be a favorable treatment option for splenomegaly patients complicated with severe hypersplenism.

Key words: Splenomegaly, Interventional therapy, Laparoscopic splenectomy, Sequential surgery for interventional therapy, Treatment strategies