Factors associated with the effect of open splenectomy for immune thrombocytopenic purpura

Liu, Ying; Zhang, Dawei; Hua, Fanli; Gao, Song; Wu, Yangjiong; Xu, Jiacheng

doi:10.1111/ejh.12783

Cited by 3 publications

(1 citation statement)

References 44 publications

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“…Patients with several hematologic ailments can advantage from splenectomy. Splenomegaly is perceived in conditions such as thrombotic thrombocytopenic purpura (TTP), hereditary spherocytosis, and idiopathic (immune) thrombocytopenic purpura (ITP) [10] . ITP is the most common sign for elective splenectomy.…”

Section: Indications For Splenectomymentioning

confidence: 99%

Open vs Laparoscopic Splenectomy among Saudi Patients

Aljoufi

Alsaffar

Almatrafi

et al. 2018

Egyptian Journal of Hospital Medicine

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The spleen is one of the most frequently injured intraperitoneal organs, and management of splenic injuries may require splenectomy. Traditionally, surgical removal of the spleen was done by an open approach using either an upper midline or left subcostal incision. Open splenectomy is performed in two major clinical scenarios: trauma and hematologic disease. With the advent of minimally invasive techniques, laparoscopic splenectomy has become a standard procedure for elective removal of the spleen for most indications. Nowadays laparoscopic splenectomy is the approach of choice for both benign and malignant diseases of the spleen. However, some contraindications still apply. The evolution of the technology has allowed though, cases which were considered to be absolute contraindications for performing a minimal invasive procedure to be treated with modified laparoscopic approaches. Moreover, the introduction of advanced laparoscopic tools for ligation resulted in less intraoperative complications. Today, laparoscopic splenectomy is considered safe, with better outcomes in comparison to open splenectomy, and the increased experience of surgeons allows operative times comparable to those of an open splenectomy. In this review we discussed the indications and the contraindications of laparoscopic splenectomy. Furthermore, we analyze the surgical techniques.

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Section: Indications For Splenectomymentioning

confidence: 99%