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Revista de la Facultad de Medicina (México)
On-line version ISSN 2448-4865Print version ISSN 0026-1742
Abstract
KIM-KOH, Min Jeong and SOUZA-GALLARDO, Luis Manuel. Laparoscopic splenectomy as a treatment for idiopathic thrombocytopenic purpura and massive splenomegaly in a second-level hospital. Rev. Fac. Med. (Méx.) [online]. 2018, vol.61, n.6, pp.20-25. ISSN 2448-4865. https://doi.org/10.22201.fm.24484865e.2018.61.6.03.
Introduction:
Nowadays, a splenectomy is a therapeutic option for hematologic diseases, especially those that do not respond to medical treatment. It is a minimally invasive surgery and has advantages such as less postoperative pain, rapid recovery, less blood loss and better cosmetic results. Laparoscopy has become the standard approach for patients undergoing a splenectomy.
Case report:
We present the case of a 34-year old male patient with idiopatic thrombocytopenic purpura. He was treated with steroid and danazol with a persistent thrombocytopenia. Due to the failure of the treatment, a laparoscopic splenectomy was performed without any complication. The extracted spleen measured 25 × 16 cm weighing 1.235 g. The surgical time was of 115 min and the transoperative loss of blood was of 800 cc.
Conclusion:
The laparoscopic splenectomy is a safe and viable therapeutic option. Various studies have shown low conversion rates, less morbidity and a shorter hospital stay. Laparoscopic splenectomy is an effective therapy regardless of the size of the spleen.
Keywords : Splenectomy; laparoscopy; splenomegaly; purple.
