Splenomegaly may be caused by viral hepatitis, hemolytic anemia, cirrhosis and other diseases, which need to be judged according to the primary disease and the degree of disease whether minimally invasive surgery can be performed.
1. Viral hepatitis: Usually for patients with relatively mild condition, they need to pay more attention to rest, plan their diets reasonably and take medication under the guidance of doctors, and generally do not need surgical treatment. If the patient’s condition is more serious, it is necessary to carry out artificial liver or liver transplantation in time, usually not minimally invasive surgery.
2. Hemolytic anemia: Usually, patients need to use glucocorticoids, immunosuppressants and other medications according to the cause of the disease, without minimally invasive surgery. However, for hereditary spherocytosis, thalassemia and autoimmune anemia, splenectomy is also required and minimally invasive surgery can be performed.
3. Cirrhosis: Usually, patients need to follow the doctor’s instructions to use antiviral drugs and other treatments, and if necessary, also need to undergo liver transplantation, generally do not need to undergo minimally invasive surgery.
If the patient’s condition develops to an advanced stage, with complications such as ascites and gastroesophageal vein rupture and bleeding, minimally invasive surgery can be performed. Common clinical procedures include transjugular vein portosystemic shunt, laparoscopic selective esophagogastric rupture splenectomy, and so on.
If splenomegaly requires splenectomy, it can also be treated minimally invasively under laparoscopy.
It is recommended that patients with splenomegaly should clarify the cause of the disease in time and take reasonable ways of treatment, and drugs should be applied under the guidance of doctors.