LAPAROSCOPIC SPLENECTOMY IN IMMUNE THROMB OCYTOPENIC PURPURA

Citation
Mf. Herrera et al., LAPAROSCOPIC SPLENECTOMY IN IMMUNE THROMB OCYTOPENIC PURPURA, Revista de Investigacion Clinica, 50(2), 1998, pp. 127-132
Citations number
29
Categorie Soggetti
Medicine, General & Internal
ISSN journal
00348376
Volume
50
Issue
2
Year of publication
1998
Pages
127 - 132
Database
ISI
SICI code
0034-8376(1998)50:2<127:LSIITO>2.0.ZU;2-X
Abstract
Objective. To describe the perioperative characteristics, complication s and outcome of the first 22 patients who underwent laparoscopic sple nectomy for refractary/recurrent ITP in our institution. Material and methods. Clinical and biochemical characteristics, spleen size, indica tion for surgery, operative time, blood requirements, complications an d outcome of 22 patients who underwent laparoscopic splenectomy betwee n 1994 and 1997 were prospectively recorded. Their mean age was 40 +/- 15 (+/- SD), 15 females and 7 males. Results. The preoperative platel et count was 56 thousand +/- 58.7/uL average spleen size 10.5 +/- 2 cm . The surgical time averaged 4.5 +/- 1 hours; accessory spleens were r emoved from two patients. Conversion to the open procedure was necessa ry in two cases. Complete response was achieved in 59%, partial respon se in 27%, and no response in 14% (none of these due to missed accesso ry spleens). Six patients developed complications. One of them died tw o days after surgery. The mean postoperative stay was 4.7 +/- 2.6 days . Conclusions. The results of laparoscopic splenectomy were similar to our previous results with the open approach. The laparoscopic techniq ue took longer in our hands but the postoperative stay was shorter.