title: Laparoscopic splenectomy in the management of hematological diseases.
abstract: The indications for splenectomy in hematological diseases are well known. In particular, they include idiopathic thrombocytopenic purpura (ITP), hereditary spherocytosis (HS) and Hodgkin's disease (HD) (as a part of subdiaphragmatic staging). We present here our initial experience of 10 cases (6 ITP, 2 HS and 2 HD) managed with a laparoscopic approach as opposed to the traditional laparotomy. Advantages over the open operation include decrease of post-operative pain, pulmonary sequelae and infections, cosmetic advantages, faster recovery and reduced hospitalization.
authors.affiliation: Division of Hematology, University Hospital, Udine, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Silvestri
authors.forename: D
authors.initials: D
authors.lastname: Russo
authors.forename: R
authors.initials: R
authors.lastname: Fanin
authors.forename: L
authors.initials: L
authors.lastname: Virgolini
authors.forename: G
authors.initials: G
authors.lastname: Terrosu
authors.forename: A
authors.initials: A
authors.lastname: Donini
authors.forename: F
authors.initials: F
authors.lastname: Bresadola
authors.forename: M
authors.initials: M
authors.lastname: Baccarani
mesh_terms: D000328:Adult; D005260:Female; D006402:Hematologic Diseases / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013156:Splenectomy / Q000379:methods*