Abstract
Operative results, especially late results, of splenectomy for Banti's syndrome were studied in cases treated in the authors' department, and provided the following information.
1. Eight out of 74 splenectomized cases died before discharge from the hospital, resulting in an operative mortality of 10.8 per cent.
2. Of the eight cases, two died of hepatic insufficiency and one from portal throbmosis, while the cause of death was little related to the original condition in the others.
3. Among 64 of the 74 splenectomized, excluding eight of early deaths and two without information available, 13 were found to be dead, the late mortality in this series being 20.3 per cent. Survival rate was estimated to be 83.3 per cent after 3 years, 68.8 per cent after 5 years and 66.7 per cent after 10 years.
4. Hepatic insufficiency was the most frequent cause of the late deaths, of which six cases died, while hematemesis resulted in death in only two.
5. Most of the survivors were good in general condition and were in active work with little difficulty, proving that splenectomy had been effective enough to rehabilitate them.
