재발한 특발혈소판감소자색반병에서의 복강경 부비장 절제술
Laparoscopic Accessory Splenectomy in Recurrent Idiopathic Thrombocytopenic Purpura
소속 상세정보
안은정/Ahn EJ
민석기/이현국/한호성/최용만/Min SK/Lee HK/Han HS/Choi YM
KMID : 0978820040070010061
Abstract
The splenectomy is the one of the treatment for the management of idiopathic thrombocytopenic purpura (ITP). Recently, with the advance of laparoscopic technique, laparoscopic splenectomy is performing like a standard method for the ITP. The main cause of failure of complete remission after splenectomy is accessory spleen. We experienced the repeat laparoscopic surgery for the treatment recurred ITP by two accessory spleen after splenectomy before 5 years ago. The patient was 24 years old woman and diagnosed by the spiral computed tomography on abdomen and pelvis. Two accessory spleen that were peripancreatic area and measured the 2 cm and 0.5 cm, were removed with AutosonixⰒ and vinyl bag (LapbagⰒ) through the previous same port site. The patient recovered without any problem and discharged at postoperative 12th day. In the follow up, she was complete remission state.
키워드
복강경 수술;부비장;특발혈소판감소자색반병;Laparoscopic surgery;Accessory spleen;Idiopathic thrombocytopenic purpura
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