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Surgical Procedures for Non-Hodgkins Lymphoma

Laparoscopy

As part of staging, it may be necessary to sample tissues from the abdomen to determine whether lymphoma is present. This is usually done by inserting the hollow tube of a laparoscope though a small incision in the abdomen, examining the organs, and taking small samples of tissues through the tube.

Splenectomy

It may sometimes be necessary to remove the spleen as part of treatment or staging. Removal of the spleen can often be done laparoscopically. The main side effect of splenectomy, other than the possibility of infection or anesthesia complications, is that the patient may be more likely to get certain types of infections, particularly pneumonia . In most cases, vaccination against common bacteria that cause pneumonia can prevent this from occurring. An alternative to removing the spleen is to irradiate it with external beam radiation.

References

Cecil RL, Goldman L, et al. Cecil Textbook of Medicine . 21st ed. Philadelphia, PA: WB Saunders Company; 2000.

Conn HF, Rakel RE. Conn's Current Therapy 2001 . 53rd ed. Philadelphia, PA: WB Saunders Company; 2001.

Greene HL, Noble J. Textbook of Primary Care Medicine . 3rd ed. St. Louis, MO: Mosby, Inc; 2001.

Lymphoma. The Leukemia & Lymphoma Society website. Available at: http://www.lls.org/diseaseinformation/lymphoma . Updated April 19, 2013. Accessed April 29, 2013.

Non-Hodgkin lymphoma. National Cancer Institute website. Available at: http://www.cancer.gov/cancertopics/types/non-hodgkin . Accessed April 29, 2013.

What is non-Hodgkin lymphoma? American Cancer Society website. Available at: http://www.cancer.org/cancer/non-hodgkinlymphoma/detailedguide/non-hodgkin-lymphoma-what-is-non-hodgkin-lymphoma?sitearea=CRI . Updated March 27, 2013.

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