Publication details
Laparoskopická splenektomie
| Title in English | Laparoscopic splenectomy |
|---|---|
| Authors | |
| Year of publication | 2012 |
| Type | Article in Periodical |
| Magazine / Source | Endoskopie |
| MU Faculty or unit | |
| Citation | |
| Field | Surgery incl. transplantology |
| Keywords | Corticosteroid therapy; Intravenous immunoglobulins; Laparoscopy; Splenectomy; Thrombocytopenia |
| Description | Laparoscopic splenectomy is a safe procedure for various pathological conditions of the spleen and of haematopoiesis. Contraindications to laparoscopic approach depend, in part, on the centre's experience. Absolute contraindications are poor internal condition, portal hypertension, and massive splenomegaly. The most frequent indication is idiopathic thrombocytopenic purpura. Treatment of thrombocytopenia always begins with conservative first-line approaches: administration of corticosteroids and intravenous immunoglobulins. Splenectomy thus remains second-line treatment in a small proportion of patients. Postoperative complications are uncommon. In addition to the cosmetic effect, there is a considerably lower risk of large incisional hernia than in laparotomic approach in corticosteroid-dependent patients. Following the procedure, it is always necessary to prevent thromboembolic disease by administering low-molecular-weight heparin. |