Laparoscopic splenectomy for primary immune thrombocytopenia: Current status and challenges
نویسندگان
چکیده
منابع مشابه
Splenectomy for immune thrombocytopenia.
As with most reports of splenectomy for immune thrombocytopenia, the recent study claiming efficacy of splenectomy for human immunodeficiency virus (HIV)-related thrombocytopenia is uncontrolled, and combines responses of more and less severely thrombocytopenic patients.' In addition, important information is omitted. What were the mean platelet count increases, partial versus complete response...
متن کاملRole of Laparoscopic Splenectomy in Elderly Immune Thrombocytopenia
The management of older patients with chronic primary immune thrombocytopenia (ITP) is still very challenging because of the fragility of older patients who frequently have severe comorbidities and/or disabilities. Corticosteroid-based first-line therapies fail in most of the cases and patients require a second-line treatment, choosing between rituximab, thrombopoietin-receptor agonists and spl...
متن کاملLaparoscopic splenectomy: Current concepts
Since early 1990's, when it was inaugurally introduced, laparoscopic splenectomy has been performed with excellent results in terms of intraoperative and postoperative complications. Nowadays laparoscopic splenectomy is the approach of choice for both benign and malignant diseases of the spleen. However some contraindications still apply. The evolution of the technology has allowed though, case...
متن کاملCurrent Management of Primary Immune Thrombocytopenia
Primary immune thrombocytopenia is an autoimmune disorder of unknown cause affecting both children and adults. The low peripheral blood platelet count is caused by premature platelet destruction by self-reacting antibodies in addition to an impairment of platelet production. The disease is heterogeneous in its pathophysiology, clinical features and responses to treatment. To date, most of the t...
متن کاملLaparoscopic splenectomy for immune thrombocytopenic purpura in patients with severe refractory thrombocytopenia.
Laparoscopic splenectomy (LS) for immune thrombocytopenic purpura has a success rate of 70-90%. This invasive procedure is sometimes required for patients with refractory thrombocytopenia. However, no data on their outcome are available. If the hematologic response is inadequate, its value vis-à-vis the risk associated with major surgery is open to question. Twelve of 110 patients who underwent...
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ژورنال
عنوان ژورنال: World Journal of Gastrointestinal Endoscopy
سال: 2016
ISSN: 1948-5190
DOI: 10.4253/wjge.v8.i17.610