Abstract
IntroductionIdiopathic thrombocytopenic purpura (ITP) is one of the most common acquired thrombocytopenia in adults. Splenectomy is as second line treatment in medical refractory patients. AimThe aim of this study is to present our first initial experience in laparoscopic splenectomy of the surgical department of Arica's local hospital. Materials and methodsThis is a transversal prospective review of patients with ITP which splenectomy was performed due medical treatment failure. Preoperative blood test: platelet count at the beginning of the study, 24h pre op, 24h post op and a month post surgery were tabulated. Postoperative complications and histopathology characteristics were reported. ResultsWe performed 5 splenectomies, 100% of the patients presented a recovery platelet count at 24h postop. In the first month only 3 patients had an improvement of their thrombocytopenia. There were no major complications, like hemoperitoneum or pancreatic leaks, only one patient presented port site ecchymosis. ConclusionsLaparoscopic splenectomy is a feasible technique in our center with a complication rate and outcomes comparable to high volume center.
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