Resumen

DIAZ, Aldo Sixto  y  ITURRIAGAGOITIA, Belkis Sixto. La esplenectomía segmentaria sobrepasa los pronósticos. Rev Cubana Cir [online]. 2003, vol.42, n.4. ISSN 0034-7493.

60 patients who underwent total splenectomy due to traumatic spleen rupture without associated lesions or concurrent diseases, were compared with 60 cases that underwent ruled segmentary splenectomy without the above-mentioned selection criteria, eventhough both samples had similar characteristics as regards age, sex, follow-up for more than 5 years and they had been operated on at the Provincial Emergency Service of Pinar del Río, from 1985 on. The objective was to know the advantages and disadvantages of performing conservative surgery. The results showed that segmentectomy present less complications and intrahospital mortality and statistically significant results with p < 0.05 during the follow-up. It was also observed that these results reduce the hospital stay and cost and that's why is it is considered that the application of ruled segmentary splenectomy is better for patients on the short and long term and that it benefits the health system

Palabras clave : SPLEMECTOMY; SPLENIE RUPTURE.