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
Multimed (Granma)
; 25(1): e2252, ene.-feb. 2021. graf
Article
em Es
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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.
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