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腹腔镜检查在原发性脾切除术后隐匿性副脾的识别与处理中的作用:一例病例报告及文献综述

The role of laparoscopy in the identification and management of missing accessory spleens after primary splenectomy: A case report and literature review.

作者信息

Vaos George, Mantadakis Elpis, Gardikis Stefanos, Pitiakoudis Michael

机构信息

Department of Pediatric Surgery, Alexandroupolis University General Hospital, Faculty of Medicine, Democritus University of Thrace, Thrace, Greece.

Department of Pediatrics, Alexandroupolis University General Hospital, Faculty of Medicine, Democritus University of Thrace, Thrace, Greece.

出版信息

J Indian Assoc Pediatr Surg. 2016 Oct-Dec;21(4):196-198. doi: 10.4103/0971-9261.186554.

Abstract

We present a 7-year-old boy with recurrent thrombocytopenia after primary laparoscopic splenectomy for immune thrombocytopenia (ITP). Imaging modalities (ultrasound, computed tomography scan, and scintigraphy) revealed two accessory spleens while the subsequent second laparoscopy revealed 11, which were successfully removed. The relevant medical literature is reviewed, and the value of laparoscopy for chronic ITP is highlighted.

摘要

我们报告一名7岁男孩,因免疫性血小板减少症(ITP)接受初次腹腔镜脾切除术后出现复发性血小板减少症。影像学检查(超声、计算机断层扫描和闪烁扫描)发现两个副脾,而随后的第二次腹腔镜检查发现了11个副脾,并成功将其切除。我们回顾了相关医学文献,并强调了腹腔镜检查对慢性ITP的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7541/4980885/f726e6f1ae60/JIAPS-21-196-g001.jpg

相似文献

2
Laparoscopic management of accessory spleens in immune thrombocytopenic purpura.
Surg Endosc. 1999 May;13(5):520-2. doi: 10.1007/s004649901026.
3
Laparoscopic accessory splenectomy: the value of perioperative localization studies.
Surg Endosc. 2009 Dec;23(12):2675-9. doi: 10.1007/s00464-008-0258-5. Epub 2009 Jan 23.
6
An 18-year review of open and laparoscopic splenectomy for idiopathic thrombocytopenic purpura.
Am J Surg. 2007 May;193(5):580-3; discussion 583-4. doi: 10.1016/j.amjsurg.2007.02.002.
7
Laparoscopic excision of accessory spleen.
Am J Surg. 2000 Jul;180(1):62-4. doi: 10.1016/s0002-9610(00)00417-7.
9
Computed tomography to detect accessory spleens before laparoscopic splenectomy: is it necessary?
Surg Endosc. 2011 Jan;25(1):261-5. doi: 10.1007/s00464-010-1171-2. Epub 2010 Jun 22.

引用本文的文献

1
Are accessory spleen screening and resection in refractory immune cytopenia an effective strategy or a waste of resources?
Ann Hematol. 2023 Sep;102(9):2309-2315. doi: 10.1007/s00277-023-05360-w. Epub 2023 Jul 13.

本文引用的文献

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Am J Hematol. 2011 Jun;86(6):520-3. doi: 10.1002/ajh.22011. Epub 2011 Apr 25.
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Laparoscopic accessory splenectomy: the value of perioperative localization studies.
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