Impacto del recuento plaquetario preoperatorio en la evolución perioperatoria tras la esplenectomía laparoscópica por púrpura trombocitopénica idiopática

Arnau, Belén Martín; Turrado-Rodríguez, Víctor; Tartaglia, Ernesto; Rodríguez, Jesús Bollo; Targarona, Eduardo M.; Folch, Manuel Trias

doi:10.1016/j.ciresp.2016.05.007

Cited by 4 publications

(1 citation statement)

References 15 publications

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“…Platelet transfusion for the management of ITP remains controversial and is recommended only in patients with catastrophic hemorrhage or who undergo invasive surgical procedures [12]. Although it has been suggested that laparoscopic splenectomy can be safely performed even with thrombocytopenia in patients with ITP, there is no data regarding gastrectomy in these patients and therefore we sought to increase the platelet count to reduce the risk of complications from bleeding [13].…”

Section: Discussionmentioning

confidence: 99%

Combined subtotal gastrectomy and splenectomy after partial splenic embolization for a patient with gastric cancer and immune thrombocytopenic purpura: A case report

Kaneko

Saito

Takahashi

et al. 2019

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Combined subtotal gastrectomy and splenectomy after partial splenic embolization for a patient with gastric cancer and immune thrombocytopenic purpura: A case report

Kaneko

Saito

Takahashi

et al. 2019

International Journal of Surgery Case Reports

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Minimally Invasive Splenectomy for Oncological Diseases of the Spleen

Monclova

Luppi

Soler

2017

Minimally Invasive Surgery for Upper Abdominal Cancer

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Laparoscopic Splenectomy for Immune Thrombocytopenic Purpura (ITP) Patients with Very Severe Thrombocytopenia

Gupta

Kalayarasan

Chandrasekar

et al. 2017

Indian J Hematol Blood Transfus

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Laparoscopic approach is considered as gold standard for splenectomy in patients with Immune Thrombocytopenic purpura (ITP). The evidence for safety and feasibility of laparoscopic splenectomy (LS) in patients with very severe thrombocytopenia (< 10,000 μL) is limited. A retrospective study of 32 ITP patients who underwent LS between July 2012 and November 2016. The ITP patients who had platelet counts < 10,000 μL (Group A, n = 15) and > 10,000 μL (Group B, n = 17) were compared with respect to operative time, blood loss, conversion rate, perioperative blood transfusion, the length of hospital stay and postoperative complications. There was no significant difference between the two groups with respect to operative time ( = 0.07), intraoperative blood loss ( = 0.75), postoperative complications ( = 0.23) and hospital stay ( = 0.15). None of the patients in the two groups required conversion to open procedure. No intra operative blood transfusion was required. In Group A, 3 patients (with platelet count less than 2000 μL) received platelet transfusion at induction of anesthesia while 10 others received after ligation of the splenic artery. There was no difference in the operative time, blood loss, postoperative complications and hospital stay between them. LS is a safe and feasible procedure for ITP patients with very severe thrombocytopenia. In these patients, the timing of intraoperative platelet transfusion does not influence perioperative and anesthetic complications.

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Impacto del recuento plaquetario preoperatorio en la evolución perioperatoria tras la esplenectomía laparoscópica por púrpura trombocitopénica idiopática

Cited by 4 publications

References 15 publications

Combined subtotal gastrectomy and splenectomy after partial splenic embolization for a patient with gastric cancer and immune thrombocytopenic purpura: A case report

Combined subtotal gastrectomy and splenectomy after partial splenic embolization for a patient with gastric cancer and immune thrombocytopenic purpura: A case report

Minimally Invasive Splenectomy for Oncological Diseases of the Spleen

Laparoscopic Splenectomy for Immune Thrombocytopenic Purpura (ITP) Patients with Very Severe Thrombocytopenia

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