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2010, Número s1

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Cir Gen 2010; 32 (s1)


Esplenectomía laparoscópica

García RA

Idioma: Español
Referencias bibliográficas: 46
Paginas: 82-86
Archivo PDF: 46.83 Kb.


FRAGMENTO

Introducción
Delaitre fue el primero en reportar una esplenectomía laparoscópica (EL) en 1991. A partir de esa fecha, siguieron numerosos reportes de casos y series describiendo todas las técnicas y variantes que hacen la EL posible para enfermedades benignas y malignas. Hoy se considera que el abordaje laparoscópico es el "estándar de oro" para la esplenectomía en casos de bazo de tamaño normal y por causas benignas, como es el caso de la púrpura trombocitopénica idiopática (PTI). La EL ofrece muchas ventajas en comparación con la esplenectomía abierta, tales como menor dolor postoperatorio, recuperación acelerada, menor afección a la función pulmonar, retorno en menor tiempo del tránsito intestinal, menor morbilidad y mejor resultado cosmético. Sin embargo, sigue siendo un procedimiento técnicamente demandante, principalmente por los riesgos de accidentes hemorrágicos.


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