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SURGICAL ASPECTS AND RESULTS OF LAPAROTOMY AND SPLENECTOMY IN HODGKIN’S DISEASE

MICHAEL A. PAGLIA M.D.1, MORTIMER J. LACHER M.D.2, RALPH E. L. HERTZ M.D.3, WILLIAM GELLER M.D.4, R. CAIRD WATSON M.D.5, JOHN L. LEWIS JR. M.D.6, LOURDES Z. NISCE M.D.7, and PHILIP H. LIEBERMAN M.D.8

1 Assistant Attending Surgeon, Gastric and Mixed Tumor Service, Memorial Hospital.
2 Assistant Attending Physician, Medical Oncology Service, Memorial Hospital.
3 Assistant Attending Surgeon, Rectal and Colon Service, Memorial HospitaL
4 Associate Attending Physician, Medical Oncology Service, Memorial Hospital.
5 Attending Roentgenologist; Chairman, Department of Diagnostic Radiology, Memorial Hospital.
6 Attending Surgeon; Chief, Gynecology Service, Memorial Hospital.
7 Assistant Attending Radiation Therapist, Department of Radiation Therapy, Memorial Hospital.
8 Attending Pathologist, Department of Pathology, Memorial Hospital.

Surgical staging of Hodgkin’s disease, i.e., laparotomy and splenectomy is a complex procedure, requiring considerable preoperative preparation and anticipation by the surgeon in conjunction with his medical colleagues.

The surgeon is responsible for the systematic removal of the spleen, liver biopsy samples, lymph node samples, removal of the appendix and transposition of the ovaries in the female patient.

He must adequately and systematically mark these areas of dissection to assist later in the evaluation of the pathologic findings and to assist the radiation therapist in treatment planning when that is performed postoperatively.


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