The American Journal of Surgery
Volume 193, Issue 5 , Pages 580-584 , May 2007

An 18-year review of open and laparoscopic splenectomy for idiopathic thrombocytopenic purpura

Presented at the 93rd Annual Meeting of the North Pacific Surgical Association, Spokane, WA, November 10–11, 2006

  • Sharadh Sampath, M.D.

      Affiliations

    • Centre of Excellence for Surgical Education and Innovation (CESEI), 3602-910 W. 10th Avenue, Vancouver, British Columbia, Canada V5Z 4E2
    • ,
  • Adam T. Meneghetti, M.D.

      Affiliations

    • Centre of Excellence for Surgical Education and Innovation (CESEI), 3602-910 W. 10th Avenue, Vancouver, British Columbia, Canada V5Z 4E2
    • Corresponding Author InformationCorresponding author. Department of Surgery, University of British Columbia, 1657 W. 60th Ave., Vancouver, BC, Canada V6P 2A7. Tel.: +1-604-875-4498; fax: +1-604-875-5869.
    • ,
  • John K. MacFarlane, M.D.

      Affiliations

    • Department of Surgery, University of British Columbia, 2211 Westbrook Mall, Vancouver, British Columbia, Canada V6T 2B5
    • ,
  • Nam H. Nguyen, M.D.

      Affiliations

    • Department of Surgery, Richmond General Hospital, 7000 Westminster Highway, Vancouver, British Columbia, Canada V6X 1A2
    • ,
  • W. Barrett Benny, M.D.

      Affiliations

    • Cell Separator Unit, Division of Hematology, Vancouver General Hospital, 899 12th Avenue W., Vancouver, British Columbia, Canada V5Z 1M9
    • ,
  • Ormond N.M. Panton, M.D.

      Affiliations

    • Department of Surgery, Richmond General Hospital, 7000 Westminster Highway, Vancouver, British Columbia, Canada V6X 1A2
    • Division of General Surgery, Vancouver General Hospital Site, 899 12th Avenue W., Vancouver, British Columbia, Canada V5Z 1M9

Received 6 December 2006 ,Revised 5 February 2007

References 

  1. Colovic R, Popovic M, Grubor N, et al. Recurrence of immunologic thrombocytopenic purpura due to hypertrophy of retained accessory spleens. Acta Chir Iugosl. 2002;49:41–43
  2. Herneth AM, Pokieser PP, Philipp MO, et al. Role of Doppler sonography in the evaluation of accessory spleens after splenectomy. J Ultrasound Med. 2001;20:1347–1351
  3. Stanek A, Stefaniak T, Makarewicz W, et al. Accessory spleens: preoperative diagnostics limitations and operational strategy in laparoscopic approach to splenectomy in idiopathic thrombocytopenic purpura patients. Langenbecks Arch Surg. 2005;390:47–51
  4. Wu JM, Lai IR, Yuan RH, et al. Laparoscopic splenectomy for idiopathic thrombocytopenic purpura. Am J Surg. 2004;187:720–723
  5. Stanek A, Makarewicz W, Stefaniak T, et al. Accessory spleens—diagnostic and therapeutic problem of the laparoscopic splenectomy in idiopathic thrombocytopenic purpura patients. Zentralbl Chir. 2004;129:114–118
  6. Mercan S, Ridvan S, Yesim E. Laparoscopic treatment of accessory splenic tissue. Surg Laparosc Endosc. 1996;6:330–331
  7. Targarona E, Espert J, Piulachs J, et al. Laparoscopic removal of accessory spleens after splenectomy for relapsing autoimmune thrombocytopenic purpura. Eur J Surg. 1999;165:1199–1200
  8. Coventry B, Watson D, Tucker K, et al. Intraoperative scintigraphic localization and laparoscopic excision of accessory splenic tissue. Surg Endosc. 1998;12:159–161
  9. Szold A, Kamat M, Nadu A, et al. Laparoscopic accessory splenectomy for recurrent idiopathic thrombocytopenic purpura and hemolytic anemia. Surg Endosc. 2000;14:761–763
  10. Akwari O, Itani K, Coleman R, et al. Splenectomy for primary and recurrent immune thrombocytopenic purpura—current criteria for patient selection and results. Ann Surg. 1987;206:529–551
  11. Facon T, Caulier M, Fenaux P, et al. Accessory splenectomy in recurrent chronic immune thrombocytopenic purpura. Am J Hematol. 1992;41:184–189
  12. Verheyden C, Beart R, Clifton M, et al. Accessory splenectomy in management of recurrent idiopathic thrombocytopenic purpura. Mayo Clinic Proc. 1978;53:442–446
  13. Ambriz P, Munoz R, Quintanar E, et al. Accessory spleen compromising response to splenectomy for idiopathic thrombocytopenic purpura. Radiology. 1985;155:793–796
  14. Targarona E, Espert J, Balabue C, et al. Residual splenic function after laparoscopic splenectomy: a clinical concern. Arch Surg. 1998;133:56–60
  15. Dietland L, Wahner-Roedler M, Clark H, et al. Idiopathic thrombocytopenic purpura: detection of accessory splenic tissue. Clin Nucl Med. 1981;6:141–145
  16. Gigot J, Jamar F, Ferrant A, et al. Inadequate detection of accessory spleens and splenosis with laparoscopic splenectomy. Surg Endosc. 1998;12:101–106
  17. Pace DE, Chiasson PM, Schlachta CM, et al. Laparoscopic splenectomy for idiopathic thrombocytopenic purpura (ITP). Surg Endosc. 2003;17:95–98
  18. Delaitre B, Blezel E, Samama G, et al. Laparoscopic splenectomy for idiopathic thrombocytopenic purpura. Surg Laparosc Endosc Percutan Tech. 2002;12:412–419
  19. Rosen M, Brody F, Walsh RM, et al. Outcome of laparoscopic splenectomy based on hematologic indication. Surg Endosc. 2002;16:272–279
  20. Poulin E, Mamazza J. Laparoscopic splenectomy: lessons from the learning curve. Can J Surg. 1998;41:28–36
  21. Cordera F, Hall Long K, Nagorney DM, et al. Open versus laparoscopic splenectomy for idiopathic thrombocytopenic purpura: clinical and economic analysis. Surgery. 2003;134:45–52

PII: S0002-9610(07)00079-7

doi: 10.1016/j.amjsurg.2007.02.002

The American Journal of Surgery
Volume 193, Issue 5 , Pages 580-584 , May 2007

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