Initial experience with laparoscopic splenectomy for immune thrombocytopenic purpura

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.

Bibliographic Details

Main Authors:	Ferndale,L, Naidoo,M, Bhaila,S H, Thomson,S R, Bassa,F
Format:	Digital revista
Language:	English
Published:	Association of Surgeons of South Africa 2013
Online Access:	http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0038-23612013000200005
Tags:	Add Tag No Tags, Be the first to tag this record!