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Esplenectomía laparoscópica en esplenomegalia masiva. A propósito de un caso / Laparoscopics plenectomy in massives plenomegaly. About a case / Esplenectomia laparoscópica na esplenomegalia maciça. Sobre um caso
Rosales Aguilar, Yurennys; López Abreu, Yolaisy; Fernández Gómez, Andrés.
Afiliação
  • Rosales Aguilar, Yurennys; Universidad de Ciencias Médicas de Granma. Hospital Provincial Universitario Carlos Manuel de Céspedes. Bayamo. CU
  • López Abreu, Yolaisy; Universidad de Ciencias Médicas de Granma. Hospital Provincial Universitario Carlos Manuel de Céspedes. Bayamo. CU
  • Fernández Gómez, Andrés; Universidad de Ciencias Médicas de Granma. Hospital Provincial Universitario Carlos Manuel de Céspedes. Bayamo. CU
Multimed (Granma) ; 25(1): e2252, ene.-feb. 2021. graf
Article em Es | LILACS-Express | LILACS | ID: biblio-1149443
Biblioteca responsável: CU1.1
RESUMEN
RESUMEN

Introducción:

el bazo constituye el órgano reticuloendotelial mayor del cuerpo. Este puede ser afectado por una serie de desórdenes primarios y secundarios indicativos de esplenectomía. Las primeras esplenectomías por técnicas de mínimo acceso fueron reportadas entre los años 1991 y 1992, encontrando entre sus ventajas una más pronta recuperación, mejores resultados estéticos, y menor sangrado intraoperatorio. Presentación del caso paciente de 43 años de edad que es intervenida por esplenomegalia masiva secundaria a púrpura trombocitopénica inmunológica, realizándosele esplenectomía laparoscópica satisfactoria.

Discusión:

las esplenomegalias masivas son aquellas cuando el bazo supera los 20 cm de longitud entre sus polos superior e inferior, siendo este criterio contraindicación relativa para esplenectomía laparoscópica.

Conclusiones:

la extirpación exitosa del bazo por cirugía laparoscópica en aquellos pacientes con esplenomegalia masiva puede ser factible siempre que se cumplan una serie de condiciones elementales.
ABSTRACT
ABSTRACT

Introduction:

the spleen is the largest reticuloendothelial organ in the body. This can be affected by a series of primary and secondary disorders indicative of splenectomy. The first splenectomies using minimal access techniques were reported between 1991 and 1992, finding among their advantages a faster recovery, better aesthetic results, and less intraoperative bleeding. Case presentation 43-year-old patient who underwent surgery for massive splenomegaly secondary to immunological thrombocytopenic purpura, undergoing satisfactory laparoscopic splenectomy.

Discussion:

massive splenomegalies are those when the spleen exceeds 20 cm in length between its upper and lower poles, this criterion being a relative contraindication for laparoscopic splenectomy.

Conclusions:

the successful removal of the spleen by laparoscopic surgery in those patients with massive splenomegaly may be feasible provided that a series of elementary conditions are met.
RESUMO
RESUMO

Introduction:

the spleen is the largest reticuloendothelial organ in the body. This can be affected by a series of primary and secondary disorders indicative of splenectomy. The first splenectomies using minimal access techniques were reported between 1991 and 1992, finding among their advantages a faster recovery, better aesthetic results, and less intraoperative bleeding. Case presentation 43-year-old patient who underwent surgery for massive splenomegaly secondary to immunological thrombocytopenic purpura, undergoing satisfactory laparoscopic splenectomy.

Discussion:

massive splenomegalies are those when the spleen exceeds 20 cm in length between its upper and lower poles, this criterion being a relative contraindication for laparoscopic splenectomy.

Conclusions:

the successful removal of the spleen by laparoscopic surgery in those patients with massive splenomegaly may be feasible provided that a series of elementary conditions are met.
Palavras-chave
Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Idioma: Es Revista: Multimed (Granma) Assunto da revista: MEDICINA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Cuba País de publicação: Cuba
Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Idioma: Es Revista: Multimed (Granma) Assunto da revista: MEDICINA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Cuba País de publicação: Cuba