Distribution of Splenic Arterial Flow and Segmental Spleen Volume for Partial Splenic Arterial Embolization.

Autor: Ueda J; Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School., Mamada Y; Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School., Taniai N; Department of Gastrointestinal Surgery, Nippon Medical School Musashi Kosugi Hospital., Yoshioka M; Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School., Matsushita A; Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School., Mizutani S; Department of Gastrointestinal Surgery, Nippon Medical School Musashi Kosugi Hospital., Kawano Y; Department of Gastrointestinal Surgery, Nippon Medical School Chiba Hokusoh Hospital., Shimizu T; Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School., Kanda T; Department of Surgery, Nippon Medical School Tama Nagayama Hospital., Takata H; Department of Gastrointestinal Surgery, Nippon Medical School Musashi Kosugi Hospital., Furuki H; Department of Surgery, Nippon Medical School Tama Nagayama Hospital., Aoki Y; Department of Gastrointestinal Surgery, Nippon Medical School Chiba Hokusoh Hospital., Kawashima M; Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School., Irie T; Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School., Ohno T; Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School., Haruna T; Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School., Yoshida H; Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School.
Jazyk: angličtina
Zdroj: Journal of Nippon Medical School = Nippon Ika Daigaku zasshi [J Nippon Med Sch] 2024 Mar 09; Vol. 91 (1), pp. 83-87. Date of Electronic Publication: 2023 Dec 08.
DOI: 10.1272/jnms.JNMS.2024_91-108
Abstrakt: Introduction: The spleen is a lymphatic organ that manages immune surveillance of the blood, produces blood cells, and helps filter the blood, remove old blood cells, and fight infection. The normal splenic weight is approximately 65-265 g. This study evaluated spleen volume and segmental volume.
Methods: 121 patients who underwent enhanced CT at our center were analyzed. The spleen was divided into upper, middle, and lower segments according to arterial flow area, and the volume of each segment was measured. Patients were classified into two groups as those with and without liver cirrhosis, and differences in the distribution of the segments in these groups was evaluated.
Results: The mean upper, middle, and lower spleen segmental volume ratios were 35.4%, 37.0%, and 27.6%, respectively. In the liver cirrhosis group, the segmental splenic volume ratios for the upper, middle, and lower segments were 34.5%, 38.5%, and 28.0%, respectively, indicating that these ratios remain similar regardless of liver cirrhosis status.
Conclusion: The present findings on segmental spleen volume are useful for estimating infarction volume in cases of partial splenic arterial embolization.
Databáze: MEDLINE
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