Is laparoscopy a safe and a cost effective alternative in the surgical management of idiopathic thrombocytopenic purpura (ITP)?

Abstract

Background: Splenectomy is indicated for idiopathic thrombocytopenic purpura (ITP) when medical management fails. Laparoscopy reduces the morbidity of open splenectomy. Objectives: To evaluate the technique, advantages and outcomes of laparoscopic splenectomy for ITP. Methods: A retrospective analysis of laparoscopic splenectomy performed at Teaching Hospital Peradeniya from 2008 to 2014 was carried out. Results: Thirty-two patients, with platelet counts less than 100 x 109/ l, underwent the procedure. The duration of surgery ranged from 60 to 270 minutes with minimum blood loss and no conversions to open surgery. All were discharged by the third or fourth day of surgery with the platelet counts rising above 150 x 109/ l. Conclusions: Laparoscopy is a safe and effective technique for splenectomy. It is associated with lower morbidity and early recovery.

Keywords

• itp
• laparoscopy
• splenectomy