LAPAROSCOPIC SPLENECTOMY FOR HEMATOLOGICAL DISORDERS

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TOULABI K.A.A.; ALIBABHSHI A.; RABANI ALI; AMINIAN A.

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Journal: Tehran University Medical Journal Year:2005 | Volume:63 | Issue:8 Page(s): 625-630

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Information Journal Paper

Title

LAPAROSCOPIC SPLENECTOMY FOR HEMATOLOGICAL DISORDERS

Author(s)

TOULABI K.A.A. | ALIBABHSHI A. | RABANI ALI | AMINIAN A. | Issue Writer Certificate

Keywords

SPLENECTOMYQ4

LAPAROSCOPIC SPLENECTOMYQ3

IDIOPATHIC THROMBOCYTOPENIC PURPURA (ITP)Q3

THROMBOTIC THROMBOCYTOPENIC PURPURA (TTP)Q3

HEMOLYTIC ANEMIAQ3

Abstract

Background: Laparoscopic SPLENECTOMY (LS) has gained wide acceptance as a safe and effective alternative to open SPLENECTOMY (OS) in the treatment of hematological disorders (HD).Methods: 20 patients with intractable HD ITP (n=14), TTP (n= 4), HEMOLYTIC ANEMIA (n= 2)) underwent LS during the years 2004-2005 in our institution. 16 women and four men with a mean age of 27.80 years had a four-port approach in a right lateral kidney position to remove spleen and all accessory spleens. Results: All procedures were performed successfully, with no conversion to exploratory laparotomy. Surgical times and blood loss averaged 113 minutes and 200 cc, respectively. Two patients required blood transfusion. There was no perioperative .mortality and major morbidity. The mean post-operative hospital stay was 2.5 days with median post-operative NPO time for 1.5 days. Weight of spleen, amount of blood loss, and operation time were significantly lower in ITP patients than other cases (P= 0.006, 0.002, 0.02 respectively). All patients with ITP and two of four patients with TTP developed normal platelet counts after operation, and all two patients with HEMOLYTIC ANEMIA maintained a normal hemoglobin concentration after operation. Conclusion: LS for HD (especially for ITP) is safe, effective and associated with low morbidity, fast recovery and excellent cosmetic results. Thus, LS may be considered earlier in the course of ITP.

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APA: Copy

TOULABI, K.A.A., ALIBABHSHI, A., RABANI, ALI, & AMINIAN, A.. (2005). LAPAROSCOPIC SPLENECTOMY FOR HEMATOLOGICAL DISORDERS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 63(8), 625-630. SID. https://sid.ir/paper/39002/en

Vancouver: Copy

TOULABI K.A.A., ALIBABHSHI A., RABANI ALI, AMINIAN A.. LAPAROSCOPIC SPLENECTOMY FOR HEMATOLOGICAL DISORDERS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2005;63(8):625-630. Available from: https://sid.ir/paper/39002/en

IEEE: Copy

K.A.A. TOULABI, A. ALIBABHSHI, ALI RABANI, and A. AMINIAN, “LAPAROSCOPIC SPLENECTOMY FOR HEMATOLOGICAL DISORDERS,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 63, no. 8, pp. 625–630, 2005, [Online]. Available: https://sid.ir/paper/39002/en

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