Staging laparotomy includes exploration of the abdominal cavity, splenectomy, liver biopsies and para-aortic, splenic, porta hepatic and celiac lymph node biopsies. Oophoropexy is occasionally performed if pelvic irradiation is indicated. With operative staging, 30% of clinically staged (CS) 1A and 2A patients and 35% of CS 1B and 2B patients with HD will have occult nodal involvement.
Vaccination with anti-pneumococcus. Hemophilus and meningococcus should be performed in all patients prior to splenectomy.
Was this article helpful?