Laparoscopic splenectomy for idiopathic thrombocytopenic purpura
- VernacularTitle:腹腔镜脾切除术治疗特发性血小板减少性紫癜的临床经验
- Author:
Jiliang WANG
;
Kaixiong TAO
;
Guobin WANG
;
Kailin CAI
;
Gaoxiong HAN
;
Xiaoming SHUAI
;
Zefeng XIA
;
Tao GUO
- Publication Type:Journal Article
- Keywords:
Purura,thrombocytopenic,idiopathic;
Splenectomy;
Laparoscopes
- From:
Chinese Journal of General Surgery
2008;23(4):259-261
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and effectiveness of laparoscopic splenoctomy (LS)in patients with idiopathic thrombocytopenic purpura(ITP). Methods Clinical data of 17 ITP cases undergoing LS between Augest 2003 and December 2006 were analyzed retrospectively. Remits LS was Successfully conducted in all 17 cases without converting to open surgery with an average intraoperative blood loss of 120 ml in each case.There was no postoperative bleeding,fistula and infection.The platelet count increased rapidly in one week.After stopping glucocorticoid treatment for one month.15 cases achieved complete response(88.2%)and 2 caSes had partial response(11.8%).Fbllow-up of 3～43 months found no recurrence. Conclusions Use of LS for ITP is safe,feasible and effective.
