Combined Splenectomy and Nephrectomy for Trauma: Morbidity, Mortality, and Outcomes Over 30 Years

: The overall mortality associated with concurrent splenectomy and left nephrectomy approximates 43% to 53%. This has not changed despite a nearly 30-year timeframe and is still primarily related to refractory hemorrhagic shock. The complication rate of 80% is also consistent and is predominantly composed of left subphrenic abscesses and multiorgan failure.