Gil CA, Pantoja MJP

Language: Spanish
References: 6
Page: 131-133
PDF size: 33.40 Kb.

ABSTRACT

Introduction: Laparoscopic splenectomy has demonstrated to be a safe and efficient procedure for the treatment of hematologic diseases. Traditionally, it is done in lateral decubitus through the flank using 4 trocars. The objective of this study is to inform the technical aspects and initial results of laparoscopic splenectomy with 3 trocars. Material and methods: From july-december 2003, we performed 5 laparoscopic splenectomies with 3 trocars. We analyzed their general characteristics, operative details, results and complications. Results: All of the patients were women, with an average age of 41. The preoperative diagnosis was idiopathic thrombocytopenic purpura, one associated with a myelodisplasic syndrome. All received medical treatment initially, and the surgical indication was established based on the lack of response. There were no transoperative complications. The average operative time was 118 minutes, and hospital stay of 5.6 days. The average weight of the spleen was 119 g. One patient developed a hematoma of the surgical bed, and was treated with platelets. After one year of follow-up, all have platelet counts higher than 125,000. Only one patient is under medical treatment because of the myelodisplasic syndrome. Conclusions: Laparoscopic splenectomy has demonstrated to be a safe and efficient alternative for the treatment of many hematologic diseases such as idiopathic thrombocytopenic purpura. This small series demonstrates the possibility of performing it with 3 trocars.

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