Esplenectomía laparoscópica en enfermedades hematológicas

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 and methods: Retrospective review of 27 patients subjec...

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Autores principales:	Maluenda G,Fernando, P,Patricio Burdiles, Braghetto M,Italo, Csendes J,Attila
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Laparoscopy Purpura thrombocytopenic Splenectomy Thrombocytopenia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200008
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spelling	oai:scielo:S0034-988720040002000082005-11-23Esplenectomía laparoscópica en enfermedades hematológicasMaluenda G,FernandoP,Patricio BurdilesBraghetto M,ItaloCsendes J,Attila Laparoscopy Purpura thrombocytopenic Splenectomy Thrombocytopenia 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 and methods: Retrospective review of 27 patients subjected to splenectomy due to hematological diseases. Among them, 17 patients (78% 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 (Rev Méd Chile 2004; 132: 189-94)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.2 20042004-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200008es10.4067/S0034-98872004000200008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Laparoscopy Purpura thrombocytopenic Splenectomy Thrombocytopenia
spellingShingle	Laparoscopy Purpura thrombocytopenic Splenectomy Thrombocytopenia Maluenda G,Fernando P,Patricio Burdiles Braghetto M,Italo Csendes J,Attila Esplenectomía laparoscópica en enfermedades hematológicas
description	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 and methods: Retrospective review of 27 patients subjected to splenectomy due to hematological diseases. Among them, 17 patients (78% 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 (Rev Méd Chile 2004; 132: 189-94)
author	Maluenda G,Fernando P,Patricio Burdiles Braghetto M,Italo Csendes J,Attila
author_facet	Maluenda G,Fernando P,Patricio Burdiles Braghetto M,Italo Csendes J,Attila
author_sort	Maluenda G,Fernando
title	Esplenectomía laparoscópica en enfermedades hematológicas
title_short	Esplenectomía laparoscópica en enfermedades hematológicas
title_full	Esplenectomía laparoscópica en enfermedades hematológicas
title_fullStr	Esplenectomía laparoscópica en enfermedades hematológicas
title_full_unstemmed	Esplenectomía laparoscópica en enfermedades hematológicas
title_sort	esplenectomía laparoscópica en enfermedades hematológicas
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200008
work_keys_str_mv	AT maluendagfernando esplenectomialaparoscopicaenenfermedadeshematologicas AT ppatricioburdiles esplenectomialaparoscopicaenenfermedadeshematologicas AT braghettomitalo esplenectomialaparoscopicaenenfermedadeshematologicas AT csendesjattila esplenectomialaparoscopicaenenfermedadeshematologicas
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Esplenectomía laparoscópica en enfermedades hematológicas

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