Common causes of hypersplenism and perioperative management of splenectomy        LI Zong-fang, JIANG An, ZHANG Shu. Department of Surgery, the Second Affiliated Hospital, School of Medicine, Xi’an Jiaotong University, Xi’an 710004, China
Corresponding author: LI Zong-fang, E-mail: lzf2568@mail.xjtu.edu.cn
Abstract    According to the causes of hypersplenism, it can be divided into primary and secondary categories. In our country, the most common case of hypersplenism is cirrhotic portal hypertension. Splenectomy is still the preferred method for the treatment of hypersplenism. The perioperative management of splenectomy has its own characteristics. Strict preoperative assessment, careful preoperative preparation, skillful surgery operation, timely postoperative treatment and individual treatment are the keys to get the best efficacy in patients with hypersplenism.