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Research Papers

Is laparoscopy a safe and a cost effective alternative in the surgical management of idiopathic thrombocytopenic purpura (ITP)?

Authors:

K.B. Galketiya ,

University of Peradeniya, LK
About K.B.
Department of Surgery, Faculty of Medicine
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V. Pinto,

University of Peradeniya, LK
About V.
Department of Anaesthesiology and Critical Care, Faculty of Medicine
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D. Dissanayake,

University of Peradeniya, LK
About D.
Department of Pathology, Faculty of Medicine
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G.W.G.D.D. Galahawela

University of Peradeniya, LK
About G.W.G.D.D.
Department of Anaesthesiology, Faculty of Medicine
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Abstract

Background: Splenectomy is indicated for idiopathic thrombocytopenic purpura (ITP) when medical management fails. Laparoscopy reduces the morbidity of open splenectomy.

Objectives: To evaluate the technique, advantages and outcomes of laparoscopic splenectomy for ITP.

Methods: A retrospective analysis of laparoscopic splenectomy performed at Teaching Hospital Peradeniya from 2008 to 2014 was carried out.

Results: Thirty-two patients, with platelet counts less than 100 x 109/ l, underwent the procedure. The duration of surgery ranged from 60 to 270 minutes with minimum blood loss and no conversions to open surgery. All were discharged by the third or fourth day of surgery with the platelet counts rising above 150 x 109/ l.

Conclusions: Laparoscopy is a safe and effective technique for splenectomy. It is associated with lower morbidity and early recovery.

Keywords: ITP Laparoscopy Splenectomy 
How to Cite: Galketiya, K.B. et al., (2017). Is laparoscopy a safe and a cost effective alternative in the surgical management of idiopathic thrombocytopenic purpura (ITP)?. Sri Lanka Journal of Medicine. 25(2), pp.12–15. DOI: http://doi.org/10.4038/sljm.v25i2.20
Published on 13 Feb 2017.
Peer Reviewed

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