title: Single-incision laparoscopic splenectomy for idiopathic thrombocytopenic purpura: report of a case.
abstract: We herein report a case of single-incision laparoscopic access (SILA) splenectomy for idiopathic thrombocytopenic purpura (ITP). A 24-year-old female patient with a diagnosis of ITP received corticosteroid therapy. However, as the side effects became serious, a splenectomy option was chosen. The SILA splenectomy using a transumbilical approach is cosmetically more attractive than a conventional laparoscopic approach, but it has an increased risk of major bleeding due to technical considerations. Therefore, we prioritized the patient's safety during the SILA splenectomy by choosing a left lower abdominal approach. The operating time was 123 min and blood loss was 1 ml. This was comparable to a conventional laparoscopic splenectomy. The present case appears to be the first SILA splenectomy reported in Japan. In our experience, a SILA splenectomy is feasible and safe, with favorable perioperative and shortterm patient outcomes. Further studies are necessary before the universal adoption of this new technique.
authors.affiliation: Department of Surgery, Yamamoto General Hospital, Ochiai Uemaeda Chinai, Noshiro, 016-0014, Japan.
authors.forename: Kenichi
authors.initials: K
authors.lastname: Oyama
authors.forename: Akira
authors.initials: A
authors.lastname: Sasaki
authors.forename: Takehiro
authors.initials: T
authors.lastname: Chiba
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nitta
authors.forename: Koki
authors.initials: K
authors.lastname: Otsuka
authors.forename: Go
authors.initials: G
authors.lastname: Wakabayashi
mesh_terms: D005260:Female; D006801:Humans; D010535:Laparoscopy; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013156:Splenectomy; D055815:Young Adult