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September 10, 2025Journal of Pediatric SurgeryOpen Access

Long-term outcome after partial splenectomy compared to total splenectomy in children with spherocytosis

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Authors

BTBenoit TessierABArnaud BonnardGHG. Héry

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Overview

Retrospective analysis reveals lower hemoglobin in partial splenectomy vs total splenectomy in children, indicating long-term monitoring is essential.

Key Points

  • At follow-up, hemoglobin concentration was significantly higher in total splenectomy patients, highlighting its effectiveness.
  • Post-operative complications were similar for both surgeries, but partial splenectomy required longer hospital stays, suggesting higher recovery costs.
  • Completion splenectomy was necessary for 42.3% of partial splenectomy patients, indicating potential long-term risks associated with this procedure.
  • Monitoring hemoglobin levels post-surgery is crucial, especially if pre-surgery levels are below 8.5 g/dL, showing significant implications for patient care.

Cite This Study

Tessier et al. (2025) studied this question.

synapsesocial.com/papers/68c1bd2a54b1d3bfb60eded8https://doi.org/10.1016/j.jpedsurg.2025.162508
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Total versus partial splenectomy in pediatric hereditary spherocytosis: A systematic review and meta‐analysis2016 · 48 citations
  2. 2A long‐term follow‐up study of subtotal splenectomy in children with hereditary spherocytosis2017 · 19 citations