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Laparoscopic approach for splenic disorders. Nine years experience with a serie of 234 patients Introduction: Laparoscopic splenectomy (LS) has been shown as an effective and safe treatment for haematological disorders, especially in cases of normal sized spleens. However, the anatomical and clinical variability of different haematological diseases may difficult LS. By other hand, long term assessment of the clinical outcome of LS is lacking, and this information is essential to validate the procedure. Aim: To evaluate the long term outcome of a single team experience on LS in a series of 234 cases, according to the different hematological diagnosis. Material and methods: From February to August/02, 234 non-selected laparoscopic splenectomies (LS) were attempted and clinical information was prospectively recorded. Indications for LS were ITP (n = 105), AIHA (n = 11), spherocytosis (S) (n = 17), Evans syndrome (n = 6), HIV-ITP (n = 7), malignancy (n = 55), myelofibrosis (n = 9), TTP (n = 1) and others (n = 23). Op. Time, conversion, postop complications and hospital stay were prospectively recorded. Postop f-up was obtained through clinic notes, follow-up visits and phone interviews with all the patients and the referring hematologist.

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2004-04-19   |   573 visitas   |   Evalua este artículo 0 valoraciones

Vol. 5 Núm.1. Febrero 2004 Pags. 60-74 Rev Mex Cir Endoscop 2004; Supl.(1)