Haematologica, Vol 80, Issue 1, 47-49
Copyright © 1995 by Ferrata Storti Foundation
Laparoscopic splenectomy in the management of hematological diseases
F Silvestri,
D Russo,
R Fanin,
L Virgolini,
G Terrosu,
A Donini,
F Bresadola,
and
M Baccarani
Division of Hematology, University Hospital, Udine, Italy.
The indications for splenectomy in hematological diseases are well known. In particular, they include idiopathic thrombocytopenic purpura (ITP), hereditary spherocytosis (HS) and Hodgkin's disease (HD) (as a part of subdiaphragmatic staging). We present here our initial experience of 10 cases (6 ITP, 2 HS and 2 HD) managed with a laparoscopic approach as opposed to the traditional laparotomy. Advantages over the open operation include decrease of post-operative pain, pulmonary sequelae and infections, cosmetic advantages, faster recovery and reduced hospitalization.
