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Exploratory laparotomy with splenectomy was performed on 275 patients with hisologically confirmed Hodgkin's disease. In 188 patients the laparotomy was a primary one to determine more precisely the state of the disease. A secondary laparotomy was performed in 87 patients 1-12 years after diagnosis and radiotherapy. In 17.5% of patients the state had to be revised after laparotomy with splenectomy. In 38 the disease had further progressed, while in ten it had slighty regressed. In four cases clinical stage I proved to be stage III. Even prognostically more favourable forms may have progressed at first diagnosis. There was no correlation between B-symptoms and histological type, but there was between B-symptoms and spread of the disease. Calculated spleen weight provided no clue as to spleen involvement. There was no clear relationship between spleen involvement and histological subclassification. Risk-effect analysis indicate that laparotomy with splenectomy was useful because it makes optimal treatment possible.
U Bruntsch, and
F Beersiek, and
F W Eigler, and
R Grub, and
H Van Lessen, and
G W Löhr, and
K Musshoff, and
C G Schmidt, and
J Slanina
January 1977,
Zentralblatt fur Chirurgie,
U Bruntsch, and
F Beersiek, and
F W Eigler, and
R Grub, and
H Van Lessen, and
G W Löhr, and
K Musshoff, and
C G Schmidt, and
J Slanina
January 1978,
Archiv fur Geschwulstforschung,
U Bruntsch, and
F Beersiek, and
F W Eigler, and
R Grub, and
H Van Lessen, and
G W Löhr, and
K Musshoff, and
C G Schmidt, and
J Slanina
December 1976,
Revista medica de Chile,
U Bruntsch, and
F Beersiek, and
F W Eigler, and
R Grub, and
H Van Lessen, and
G W Löhr, and
K Musshoff, and
C G Schmidt, and
J Slanina
April 1973,
American journal of surgery,
U Bruntsch, and
F Beersiek, and
F W Eigler, and
R Grub, and
H Van Lessen, and
G W Löhr, and
K Musshoff, and
C G Schmidt, and
J Slanina
January 1974,
Revista espanola de las enfermedades del aparato digestivo,
U Bruntsch, and
F Beersiek, and
F W Eigler, and
R Grub, and
H Van Lessen, and
G W Löhr, and
K Musshoff, and
C G Schmidt, and
J Slanina
January 1974,
Khirurgiia,
U Bruntsch, and
F Beersiek, and
F W Eigler, and
R Grub, and
H Van Lessen, and
G W Löhr, and
K Musshoff, and
C G Schmidt, and
J Slanina
July 1975,
Deutsche medizinische Wochenschrift (1946),
U Bruntsch, and
F Beersiek, and
F W Eigler, and
R Grub, and
H Van Lessen, and
G W Löhr, and
K Musshoff, and
C G Schmidt, and
J Slanina
May 1973,
Chirurgie; memoires de l'Academie de chirurgie,
U Bruntsch, and
F Beersiek, and
F W Eigler, and
R Grub, and
H Van Lessen, and
G W Löhr, and
K Musshoff, and
C G Schmidt, and
J Slanina
January 1974,
Klinische Wochenschrift,
U Bruntsch, and
F Beersiek, and
F W Eigler, and
R Grub, and
H Van Lessen, and
G W Löhr, and
K Musshoff, and
C G Schmidt, and
J Slanina
July 1979,
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete,
