Residual Splenic Function After Laparoscopic Splenectomy: A Clinical Concern

摘要: Objective To document the existence of residual splenic function after laparoscopic splenectomy in a series 48 patients. Design A noncomparative descriptive case series. Setting tertiary care center. Patients 9 patients without clinical improvement consecutive undergoing for several hematologic disorders mean follow-up 16 months (range, 1-40 months). Interventions computed tomographic scan and technetium Tc 99m sodium pertechnetate heat-damaged red blood cell scintigraphy were performed with partial (platelet count /L) or total failure improvement. Main Outcome Measure Evidence tissue by image diagnosis. Results The condition failed to improve splenectomy. Six experienced 3 (1 patient had human immunodeficiency virus–related thrombocytopenia 8 idiopathic thrombocytopenic purpura). Three function, which was revealed scintigraphy. results showed an accessory spleen one implants fossa another patient. Conclusion Laparoscopic has promising role management diseases requiring splenectomy, but it requires exquisite avoid parenchymal rupture spillage leaving spleens, can lead surgical treatment.