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What we learned from the experience of laparoscopic splenectomy in patients with idiopathic thrombocytopenic purpura (ITP) - Single surgeon experiences

Authors
 Chang Moo Kang  ;  Jae Gil Lee  ;  Kyung Sik Kim  ;  Jin Sub Choi  ;  Woo Jung Lee  ;  Byong Ro Kim 
Citation
 SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, Vol.16(3) : 151-155, 2006 
Journal Title
 SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES 
ISSN
 1530-4515 
Issue Date
2006
MeSH
Clinical Competence ; Female ; Humans ; Intraoperative Complications ; Laparoscopy/methods* ; Male ; Perioperative Care ; Purpura, Thrombocytopenic, Idiopathic/surgery* ; Splenectomy/methods*
Keywords
laparoscopic splenectomy (LS) ; idiopathic throm-bocytopenic purpura (ITP) ; experiences
Abstract
From October 1994 to December 2004, 50 cases of laparoscopic splenectomy (LS) have been carried out by a single surgeon for treating patients with idiopathic thrombocytopenic purpura (ITP). This study was performed to analyze a single surgeon's experiences of LS in ITP and discuss lesions that we have learned and the technical changes based on perioperative outcomes of LS. It seems that strict right lateral decubitus is definitively the position of choice because it ensures good exposure of splenic vascular structure in hilum. We also found that a flexible scope or 45-degree angled telescope, not to mention a 30-degree one, allowed for optimal vision, and made laparoscopic procedures easy and secure. We could control the vascular structure safely by just applying 5-mm laparoscopic clips without using harmonic scalpel or endo-GIA. When delivering spleen, it maybe easy and safe way to remove the plastic pouch with spleen fragmented through the umbilical port after changing the patient's position to supine again.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00129689-200606000-00006&LSLINK=80&D=ovft
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Kim, Byong Ro(김병로)
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
Choi, Jin Sub(최진섭)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109552
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