Clinical Application of Laparoscopic Splenectomy for Idiopathic Thrombaytopenic Purpura

Objective To investigate the safety and efficacy of laparoscopic splenectomy(LS) performed for idiopatic thrombocytopenic purpura(ITP). Methods The clinical data of 32 patients with ITP underwent LS from Sep.2000 to Mar.2006 were analyzed retrospectively. Results Two cases was converted to open surgery.Thirty patients successfully underwent LS.The operation time was 60～210 min,and intraoperative blood loss was 30～490 mL.In operation an accessory spleen was found in 5 cases and 1 was excised.The platelet count was elevated rapidly in one week postoperatively,and peristalsis of alimentary tract recovered in 12～24 h after operation in all cases,the mean hospitalization time was 8 days.Postoperative complications occurred in 2 cases including,subcutaneous emphysema,and stabbing-caused abdominal wallbleeding in each. Conclusions LS is a relatively safe and effective measure for treatment of ITP.