Laparoscopic splenectomy--technical aspects.
Since the recent development of endoscopic cholecystectomy various other digestive disorders have been treated endoscopically. Using the endo-GIA stapler the authors report a case of laparoscopic splenectomy. Five trocar sheaths were used. Once detached, the spleen was cut into fragments in a plastic bag intraabdominally, which allowed its removal. Splenectomy was performed for a girl who had an autoimmune thrombocytopenic purpura (ITP). No operative transfusion was required. The patient was discharged after an uncomplicated postoperative recovery. The cosmetic result is good.
Delaitre
B
B
Hopital Cochin, Clinique Chirurgicale, Paris, France.
Maignien
B
B
D001327:Autoimmune Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011696:Purpura, Thrombocytopenic / Q000601:surgery*; D013156:Splenectomy / Q000379:methods*