caa a22 4500 475781023 CHVBK 20180406123644.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s004640000209 doi (NATIONALLICENCE)springer-10.1007/s004640000209 Laparoscopic accessory splenectomy for recurrent idiopathic thrombocytopenic purpura and hemolytic anemia [Elektronische Daten] [A. Szold, M. Kamat, A. Nadu, A. Eldor] Background: Laparoscopic splenectomy is an effective treatment for idiopathic thrombocytopenic purpura (ITP) and hemolytic anemia that has a remission rate of 80-90%. In some patients in whom the disease persists or recurs, a diagnosis of accessory spleen is made. The long-term efficacy of laparoscopic accessory splenectomy is unknown. Methods: Patients who underwent laparoscopic accessory splenectomy were followed in the outpatient clinic. The perioperative course, blood counts, and need for medical therapy to maintain a normal count were recorded. Results: Eight patients underwent laparoscopic accessory splenectomy. All procedures were completed laparoscopically, and all patients were discharged on the 1st postoperative day. Patients were available for a follow-up period of 15 months range, (3-27). None of the ITP patients achieved a complete remission. Two of them had a partial remission, and five ITP patients are now being treated with chronic corticosteroids to maintain a platelet count of >100,000/ml. Conclusion: Laparoscopic accessory splenectomy is associated with a low rate of morbidity and a short hospital stay. Despite its success in removing all residual splenic tissue, most patients will probably not enjoy a complete remission. Springer-Verlag, 2000 Laparoscopy nationallicence Spleen nationallicence Accessory spleen nationallicence Hemolytic anemia nationallicence Idiopathic thrombocytopenic purpura nationallicence ITP nationallicence Szold A. Advanced Endoscopic Surgery Unit, Department of Surgery B, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, 64239, Tel Aviv, Israel aut Kamat M. Advanced Endoscopic Surgery Unit, Department of Surgery B, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, 64239, Tel Aviv, Israel aut Nadu A. Advanced Endoscopic Surgery Unit, Department of Surgery B, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, 64239, Tel Aviv, Israel aut Eldor A. Department of Hematology, Tel Aviv Sourasky Medical Center, and the Sadder Faculty of Medicine, Tel Aviv University, 6 Weizmann Street, 64239, Tel Aviv, Israel aut Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 761-763 0930-2794 14:8<761 2000 14 464 https://doi.org/10.1007/s004640000209 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000209 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Szold A. Advanced Endoscopic Surgery Unit, Department of Surgery B, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, 64239, Tel Aviv, Israel aut NATIONALLICENCE 700 1- Kamat M. Advanced Endoscopic Surgery Unit, Department of Surgery B, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, 64239, Tel Aviv, Israel aut NATIONALLICENCE 700 1- Nadu A. Advanced Endoscopic Surgery Unit, Department of Surgery B, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, 64239, Tel Aviv, Israel aut NATIONALLICENCE 700 1- Eldor A. Department of Hematology, Tel Aviv Sourasky Medical Center, and the Sadder Faculty of Medicine, Tel Aviv University, 6 Weizmann Street, 64239, Tel Aviv, Israel aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 761-763 0930-2794 14:8<761 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer