Long-term results of laparoscopic splenectomy in pediatric chronic immune thrombocytopenic purpura
Annals of Surgical Treatment and Research
;
: 314-318, 2014.
Article
in English
| WPRIM
| ID: wpr-152269
ABSTRACT
PURPOSE:
Laparoscopic splenectomy (LS) for pediatric chronic immune thrombocytopenic purpura (ITP) patients has recently become widespread. However, its long-term result is rarely reported in children.METHODS:
We retrospectively analyzed the patients who underwent LS for pediatric chronic ITP from June 1998 to April 2007.RESULTS:
There were 18 patients (14 male and 4 female) with mean age 9.5 +/- 3.8 years. 14 complete response, 3 partial response, and 1 no response were occurred. During the 82-month median follow-up period, 9 patients maintained in a remission state without any additional treatment, and 9 patients relapsed. In a comparative analysis of the relapse group and no relapse group, hospital stays were longer in the relapse group and the preoperative platelet counts and platelet counts at 1 month post were lower in relapse group. A relapse-free survival among 17 patients who achieved partial or complete responses following LS showed 76.5%, 61.8%, and 33.0% at 1-, 5-, and 10-year following LS, respectively.CONCLUSION:
Although LS in pediatric chronic ITP patients had excellent results immediately after surgery, careful follow up is needed due to late relapse even when a complete response has been noted for several years.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Platelet Count
/
Recurrence
/
Splenectomy
/
Retrospective Studies
/
Follow-Up Studies
/
Purpura, Thrombocytopenic, Idiopathic
/
Laparoscopy
/
Length of Stay
Type of study:
Observational study
/
Prognostic study
Limits:
Child
/
Humans
/
Male
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2014
Type:
Article
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