What we learned from the experience of laparoscopic splenectomy in patients with idiopathic thrombocytopenic purpura (ITP) - Single surgeon experiences

ChangMoo Kang, JaeGil Lee, Kyung Sik Kim, Jin Sub Choi, Woo Jung Lee, Byong Ro Kim

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

From October 1994 to December 2004, 50 cases of laparoscopic splenectomy (LS) have been carried out by a single surgeon for treating patients with idiopathic thrombocytopenic purpura (ITP). This study was performed to analyze a single surgeon's experiences of LS in ITP and discuss lesions that we have learned and the technical changes based on perioperative outcomes of LS. It seems that strict right lateral decubitus is definitively the position of choice because it ensures good exposure of splenic vascular structure in hilum. We also found that a flexible scope or 45-degree angled telescope, not to mention a 30-degree one, allowed for optimal vision, and made laparoscopic procedures easy and secure. We could control the vascular structure safely by just applying 5-mm laparoscopic clips without using harmonic scalpel or endo-GIA. When delivering spleen, it maybe easy and safe way to remove the plastic pouch with spleen fragmented through the umbilical port after changing the patient's position to supine again.

Original languageEnglish
Pages (from-to)151-155
Number of pages5
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume16
Issue number3
DOIs
Publication statusPublished - 2006 Jun 1

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Idiopathic Thrombocytopenic Purpura
Splenectomy
Blood Vessels
Spleen
Telescopes
Umbilicus
Supine Position
Surgical Instruments
Plastics
Surgeons

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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abstract = "From October 1994 to December 2004, 50 cases of laparoscopic splenectomy (LS) have been carried out by a single surgeon for treating patients with idiopathic thrombocytopenic purpura (ITP). This study was performed to analyze a single surgeon's experiences of LS in ITP and discuss lesions that we have learned and the technical changes based on perioperative outcomes of LS. It seems that strict right lateral decubitus is definitively the position of choice because it ensures good exposure of splenic vascular structure in hilum. We also found that a flexible scope or 45-degree angled telescope, not to mention a 30-degree one, allowed for optimal vision, and made laparoscopic procedures easy and secure. We could control the vascular structure safely by just applying 5-mm laparoscopic clips without using harmonic scalpel or endo-GIA. When delivering spleen, it maybe easy and safe way to remove the plastic pouch with spleen fragmented through the umbilical port after changing the patient's position to supine again.",
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What we learned from the experience of laparoscopic splenectomy in patients with idiopathic thrombocytopenic purpura (ITP) - Single surgeon experiences. / Kang, ChangMoo; Lee, JaeGil; Kim, Kyung Sik; Choi, Jin Sub; Lee, Woo Jung; Kim, Byong Ro.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 16, No. 3, 01.06.2006, p. 151-155.

Research output: Contribution to journalArticle

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