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J Minim Access Surg. 2011 Jan;7(1):68-70. doi: 10.4103/0972-9941.72386.

Single-incision laparoscopic splenectomy with innovative gastric traction suture.

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  • 1Department of Surgical Gastroenterology, Manipal Institute of Liver and Digestive Diseases, Manipal Hospital, Bangalore, India.

Abstract

Laparoscopic splenectomy is now the gold standard for patients with idiopathic thrombocytopenic purpura (ITP) undergoing splenectomy. There are a few reports in literature on single-incision laparoscopic (SIL) splenectomy. Herein, we describe a patient undergoing SIL splenectomy for ITP without the use of a disposable port device. We report a 20-year-old female patient with steroid-refractory ITP having a platelet count of 14,000/cmm who underwent a SIL splenectomy. Dissection was facilitated by the use of a single articulating grasper and a gastric traction suture and splenic vessels were secured at the hilum with an endo-GIA stapler. She made an uneventful postoperative recovery and was discharged on the second postoperative day. She is doing well with no visible scar at 8-month follow-up.

KEYWORDS:

Gastric traction suture; ITP; single-incision laparoscopic splenectomy

PMID:
21197246
[PubMed]
PMCID:
PMC3002011
Free PMC Article
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