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

Language: Spanish
References: 13
Page: 246-253
PDF size: 454.59 Kb.

ABSTRACT

Objective: To report our experience in patients surgically treated with laparoscopic splenectomy in a tertiary care hospital.
Materials and Methods: Retrospective and observational study of patients surgically treated with laparoscopic splenectomy from March 2018 to May 2022, analyzing demographic, diagnostic, preoperative, transoperative and postoperative variables.
Results: Twenty-seven patients were studied, 23 of whom were women; the average age was 36.4 years. The main diagnosis was immune thrombocytopenic purpura in 20/27 patients. 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. Twenty-three patients had complete response to treatment and 4 presented a partial response with a diagnosis of immune thrombocytopenic purpura associated with myelodysplastic syndrome, currently in bone marrow transplant protocol.
Conclusions: Laparoscopic splenectomy is the ideal surgical procedure in patients with hematological disease refractory to second- and third-line medical treatment.

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