Esplenectomía laparoscópica en enfermedades hematológicas / Laparoscopic splenectomy in hematological diseases
Rev. méd. Chile
; 132(2): 189-194, feb. 2004. tab
Article
em Es
| LILACS
| ID: lil-361495
Biblioteca responsável:
CL12.1
ABSTRACT
Background:
Idiopathic thrombocytopenic purpura (ITP) is the most common indication for elective splenectomy. The laparoscopic approach has been used over the past ten years.Aim:
To report our experience with laparoscopic splenectomy. Patients andmethods:
Retrospective review of 27 patients subjected to splenectomy due to hematological diseases. Among them, 17 patients (78 percent female, age range 17-70 years old) were subjected to a laparoscopic splenectomy. Eligibility criteria were the presence of benign disease, an informed consent by the patient, a spleen size of less than 20 cm by ultrasound and absence of previous surgery in the upper left quadrant. The rest of the patients were subjected to an open splenectomy.Results:
Seventy one percent of patients subjected to laparoscopic splenectomy had an ITP. Mean operating time was 184 minutes. The mean spleen size was 11 cm and the mean weight was 186 g (70-450). No patient died or had complications. No patient required a conversion to an open surgery. Transfusions were not required. The median hospital stay was 3 days.Conclusions:
Elective laparoscopic splenectomy is a safe and low risk surgical procedure.
Texto completo:
1
Índice:
LILACS
Assunto principal:
Esplenectomia
Limite:
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
America do sul
/
Chile
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2004
Tipo de documento:
Article