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2022, Number 1-2

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Rev Mex Cir Endoscop 2022; 23 (1-2)

Elective laparoscopic splenectomy at the National Northeastern Medical Center. Case series report

Aguirre-Flores K, Mazariegos-Gutiérrez UE, Gómez-Arenas SR, Nacud-Bezies YA

Language: Spanish
References: 15
Page: 13-18
PDF size: 222.00 Kb.


ABSTRACT

Introduction: since the early 1990's, laparoscopic splenectomy has been performed with excellent results in multiple centers. This study reports the experience with this procedure at the National Northeastern Medical Center. Material and methods: retrospective and observational study of patients surgically treated with laparoscopic splenectomy in the period from March 2018 to May 2022, analyzing demographic, diagnostic, preoperative, transoperative and postoperative variables. Results: the database of 27 patients was reviewed, of whom 85.18% were women, and the average age was 36.4 years. The main diagnosis was immune thrombocytopenic purpura in 73.30%. The average operative time was 126.9 minutes. The average length of hospital stay after surgery was 25.3 hours. Only one patient presented surgical site infection. The percentage of patients with complete response to treatment was 85.18% and 14.82% presented a partial response with a diagnosis of immune thrombocytopenic purpura associated with myelodysplastic syndrome, currently in bone marrow transplant protocol. Conclusions: at the National Northeastern Medical Center, laparoscopic splenectomy is the surgical procedure of choice in patients with hematologic pathology refractory to second and third line medical treatment.


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