Laparoscopic splenectomy for treatment of patients with idiopathic thrombocytopenic purpura

1999 ◽  
Vol 13 (6) ◽  
pp. 563-566 ◽  
Author(s):  
T. Shimomatsuya ◽  
T. Horiuchi
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Laparoscopic Splenectomy ◽  
Thrombocytopenic Purpura

scholarly journals The Alexis® system for laparoscopic splenectomy in pediatric patients

2021 ◽  
Author(s):  
Emanuele Trovalusci ◽  
Marco Gasparella ◽  
Cristina Pizzato ◽  
Paola Midrio
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Epidermoid Cyst ◽  
Laparoscopic Splenectomy ◽  
Pediatric Patients ◽  
Organ Size ◽  
Spleen Size ◽  
Thrombocytopenic Purpura ◽  
Direct View ◽  
Patient Organ ◽  
Retrieval Bag

AbstractThe laparoscopic splenectomy in pediatric patients is performed worldwide but often the disproportion between size of patients and size of organs requires an extra laparotomic access for spleen removal. The aim of the present study was to evaluate the safety and effectiveness of the Alexis® system to retrieve the spleen without additional laparotomic access. The charts of all patients who underwent splenectomy at our center during the last 5 years were retrieved. In all the cases the Alexis® system was placed in the umbilicus, thru which a 10 mm camera was inserted. Three additional 5 mm standard trocars were inserted. Seven patients, affected by spherocytosis (3), epidermoid cyst (2), idiopathic thrombocytopenic purpura (2) and thalassemia (1), underwent laparoscopic splenectomy at a median age of 10 years (range: 8–17). Median patients’ weight was 32.5 kg (range: 25–71) and spleen size 15 cm (11–18). In all the cases, upon removal of the camera, the retrieval bag was inserted thru the umbilicus under direct view, the spleen retrieved, morcellated, and removed. No conversion nor enlargement of one of the ports nor an extra laparotomic access were required. The patients were discharged on the fifth post-operative day and the cosmetic results were excellent. Removal of the spleen can be safely performed without any additional laparotomy thru the Alexis® system placed in the umbilicus. This system is effective also in case of major patient/organ size disproportion and the final cosmetic aspect is excellent.

Laparoscopic Splenectomy for Idiopathic Thrombocytopenic Purpura

2002 ◽  
Vol 12 (6) ◽  
pp. 412-419 ◽  
Author(s):  
Bernard Delaitre ◽  
Eric Blezel ◽  
Guy Samama ◽  
Christophe Barrat ◽  
Dominique Gossot ◽  
...  
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Laparoscopic Splenectomy ◽  
Thrombocytopenic Purpura

Single-incision laparoscopic splenectomy for idiopathic thrombocytopenic purpura: Report of a case

Surgery Today ◽  
2011 ◽  
Vol 41 (8) ◽  
pp. 1091-1094 ◽  
Author(s):  
Kenichi Oyama ◽  
Akira Sasaki ◽  
Takehiro Chiba ◽  
Hiroyuki Nitta ◽  
Koki Otsuka ◽  
...  
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Laparoscopic Splenectomy ◽  
Single Incision ◽  
Thrombocytopenic Purpura

scholarly journals Laparoscopic Splenectomy for the Patients with Idiopathic Thrombocytopenic Purpura.

1994 ◽  
Vol 27 (8) ◽  
pp. 2029-2033
Author(s):  
Takumi Shimomatsuya ◽  
Nobuhiko Tanigawa ◽  
Tetsuo Taniguchi ◽  
Hideki Noguchi ◽  
Narisato Kimura ◽  
...  
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Laparoscopic Splenectomy ◽  
Thrombocytopenic Purpura

scholarly journals LAPAROSCOPIC SPLENECTOMY FOR THE PATIENTS WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA

1996 ◽  
Vol 57 (12) ◽  
pp. 2928-2933
Author(s):  
Takumi SHIMOMATSUYA ◽  
Tetsuya HORIUCHI ◽  
Nobuhiko TANIGAWA ◽  
Yoshinori HIRAMATSU ◽  
Makoto YOSHIDA ◽  
...  
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Laparoscopic Splenectomy ◽  
Thrombocytopenic Purpura

scholarly journals Long-Term Outcomes of Laparoscopic Splenectomy Versus Open Splenectomy for Idiopathic Thrombocytopenic Purpura

2014 ◽  
Vol 99 (3) ◽  
pp. 286-290 ◽  
Author(s):  
Yikun Qu ◽  
Jian Xu ◽  
Chengbin Jiao ◽  
Zhuoxin Cheng ◽  
Shiyan Ren
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Laparoscopic Splenectomy ◽  
Operation Time ◽  
Long Term Outcomes ◽  
Thrombocytopenic Purpura ◽  
Long Term Outcome ◽  
Open Splenectomy ◽  
Drain Removal ◽  
Significant Difference

Abstract The long-term outcomes of laparoscopic splenectomy (LS) versus open splenectomy (OS) in patients with idiopathic thrombocytopenic purpura (ITP) are not known. A retrospective analysis of 73 patients who underwent splenectomy (32 LS and 41 OS) for refractory ITP between April 2003 and June 2012 was conducted. LS was associated with shorter hospital stay (P = 0.01), less blood loss and blood transfusion during surgery, quicker resumption of oral diet (P < 0.0001), and earlier drain removal (P < 0.01). Conversion to OS was required in 4 patients (12.5%). Operation time was significantly longer in LS (P < 0.0001). Deep venous thrombosis (DVT) was observed in 1 patient after LS and in 4 patients after OS (P = 0.52). One patient died from intraperitoneal bleeding after OS, another patient developed pulmonary embolism. Median follow-up of 36 months was performed in LS group (29 of 32, 91%) and of 46 months in OS group (35 of 41, 85%), 25 patients (86%) in LS group and 32 (91%) in OS group reached sustained complete response (P = 0.792). Kaplan-Meier analysis showed that there was no significant difference in the relapse-free survival rate between the groups (P = 0.777). In conclusion, the long-term outcome of laparoscopic splenectomy is not different from that of open splenectomy for patients with ITP.

Laparoscopic splenectomy for idiopathic thrombocytopenic purpura in a woman with situs inversus: Report of a Case

Surgery Today ◽  
2010 ◽  
Vol 40 (12) ◽  
pp. 1176-1178 ◽  
Author(s):  
Satoshi Yodonawa ◽  
Yukinobu Goto ◽  
Isao Ogawa ◽  
Susumu Yoshida ◽  
Hiromichi Itoh ◽  
...  
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Situs Inversus ◽  
Laparoscopic Splenectomy ◽  
Thrombocytopenic Purpura
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