n South African Journal of Surgery - Initial experience with laparoscopic splenectomy for immune thrombocytopenic purpura : general surgery
|Article Title||Initial experience with laparoscopic splenectomy for immune thrombocytopenic purpura : general surgery|
|© Publisher:||Medpharm Publications|
|Journal||South African Journal of Surgery|
|Affiliations||1 University of KwaZulu-Natal, 2 University of KwaZulu-Natal, 3 University of KwaZulu-Natal, 4 University of KwaZulu-Natal and 5 University of Cape Town|
|Publication Date||May 2013|
|Pages||54 - 56|
Background. Laparoscopic splenectomy has become the preferred method of splenectomy for refractory immune thrombocytopenic purpura (ITP). We present our experience with the introduction of laparoscopic splenectomy for ITP.
Methods. Over a 2-year period, retrospective and prospective data were collected on all patients undergoing laparoscopic splenectomy for ITP at our institution. We analysed demographic data, peri-operative courses, platelet count responses and complications.
Results. Twenty laparoscopic splenectomies were performed. There were 2 conversions to an open procedure. The average operating time was 100 minutes (range 30 - 170 minutes), and mean blood loss was 106 ml (range 50 - 200 ml). There were no deaths or major complications. The mean follow-up period was 7 months. Ninety-five per cent of patients had a complete or partial response to splenectomy.
Conclusion. Laparoscopic splenectomy can be introduced safely with an acceptable conversion rate, and is an effective treatment for ITP on short-term follow-up.
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