Ozan Bariş NAMDAROĞLU, Savaş YAKAN, Hilmi YAZICI, Sinem NAMDAROĞLU, MEHMET YILDIRIM

LAPAROSCOPIC SPLENECTOMY FOR IMMUNE TROMBOCYTOPENIC PURPURA: A SINGLE CENTER EXPERIENCE

Introduction: Since its introduction in the early 1990s, laparoscopic splenectomy (LS) is considered the standard treatment for patients with hematological disorders especially for immune thrombocytopenic purpura (ITP). Although its well-known considered benefits, outcomes may vary depending on a hospital's profile and the experience of the surgeon and center. We would like to present experience of a single center with LS for ITP. Material and Methods: All patients with ITP who underwent LS were included. Several perioperative variables such as age, gender, operating time, blood loss, length of hospital stay, conversion, operation indications were analyzed. Results: In total, 15 patients were included; 7(46.7%) women and 8(53.3%) men, with a median age of 52 (18- 73) years. The median operative time and blood loss were 129 (89-200) min,130 (50-300) ml respectively. The mean time for hospital stay was four days (3- 7 days). Conclusions: Laparoscopic splenectomy is a safe procedure for patients with hematological disorders with a low risk of perioperative complications and mortality.

İMMÜN TROMBOSİTOPENİK PURPURA HASTALARINDA LAPAROSKOPİK SPLENEKTOMİ: TEK MERKEZ DENEYİMİ

Giriş: 1990’lı yılların başlarında yapılmaya başlanan laparoskopik splenektomi (LS) başta immün trombositopenik purpura (ITP) olmak üzere hematolojik hastalıkların tedavisinde standart tedavi olarak kabul edilmiştir. Bilinen birçok faydasına rağmen sonuçları hastane profili, cerrahın tecrübesi ve merkeze bağlı değişkenlik gösterebilmektedir. Bizde ITP nedeniyle yapılan laparoskopik splenektomi deneyimimizi sunmayı amaçladık. Gereç ve Yöntem: LS yapılan ITP’li tüm hastalar dahil edildi. Yaş, cinsiyet, ameliyat süresi, kan kaybı, hastanede kalış süresi,açığa dönme, operasyon indikasyonları gibi çeşitli perioperatif değişkenler analiz edildi. Bulgular: Toplamda 15 hasta alındı; bunların 7’si (%46,7) kadın ve 8’i (%53,3) erkek ve medyan yaşları 52 (18- 73) idi. Medyan operasyon süresi ve kan kaybı sırasıyla 129 (89-200) dk, 130 (50-300) ml idi. Hastanede kalış süresi ortalama dört (3-7)gün idi.

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