Open Versus Laparoscopic Splenectomy for Immune Thrombocytopenic Purpura.
- Author:
Sang Moon HAN
1
;
Won Woo KIM
;
Eung Kook KIM
Author Information
1. Department of Surgery, College of Medicine, Catholic University.
- Publication Type:Original Article
- Keywords:
ITP;
Laparoscopy;
Splenectomy
- MeSH:
Humans;
Incidence;
Laparoscopy;
Length of Stay;
Platelet Transfusion;
Purpura, Thrombocytopenic, Idiopathic*;
Spleen;
Splenectomy*
- From:Journal of the Korean Surgical Society
1999;57(1):114-118
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: To determine the advantage of laparoscopic splenectomy techniques in immune thrombocytopenic purpura (ITP), we compared it with an open splenectomy. METHODS: The cases of all patients who had undergone (52) a splenectomy for ITP at St. Mary's Hospital from January 1993 to December 1997 were reviewed. From the 52 cases, 21 cases were managed with a laparoscopic technique only and 31 cases were managed with an open technique. RESULTS: Blood and platelet transfusion requirements were reduced in the laparoscopic group. Although the mean operating time was slightly longer in the laparoscopic group (110 versus 184 minutes, p<0.001), the mean hospital stay (9.7 versus 5.9 days, p<0.001) was slightly shorter and the postoperative analgesic requirement (p<0.001) and the incidence of post operative complications (9.5 versus 48.4%) were greatly reduced. The detection rates of accessory spleens was low in the laparoscopic group. CONCLUSIONS: The laparoscopic splenectomy produced better clinical outcomes than an elective splenectomy for ITP. Also, such laparoscopic methods reduced costs.
