LAPAROSCOPIC SPLENECTOMY FOR IDIOPATHIC THROMBOCYTOPENIC PURPURA

被引：57

作者：

GIGOT, JF ^{[1
]}

HEALY, ML ^{[1
]}

FERRANT, A ^{[1
]}

MICHAUX, JL ^{[1
]}

NJINOU, B ^{[1
]}

KESTENS, PJ ^{[1
]}

机构：

[1] UNIV CATHOLIQUE LOUVAIN,ST LUC UNIV HOSP,SCH MED,DEPT HAEMATOL,B-1200 BRUSSELS,BELGIUM

来源：

BRITISH JOURNAL OF SURGERY | 1994年 / 81卷 / 08期

关键词：

D O I：

10.1002/bjs.1800810830

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Laparoscopic splenectomy was performed on eight patients with idiopathic thrombocytopenic purpura refractory to medical treatment. Preoperative infusion of immunoglobulin G gamma-globulin was used to boose the platelet count. Accessory spleens were sought by preoperative computed tomography and peroperative examination of the usual anatomical locations. Seven patients underwent successful laparoscopic splenectomy, with a mean postoperative stay of 3.6 days. One patient with an accessory spleen detected before operation but not during laparoscopy required conversion to open surgery for control of haemorrhage from the splenic hilum. Another patient had a transient pancreatic fistula. Laparoscopic splenectomy is feasible and safe in patients with idiopathic thrombocytopenic purpura. Long-term results require evaluation as detection of accessory spleens can prove difficult during laparoscopy.

引用

页码：1171 / 1172

页数：2