Nyilas et al reported factors associated with successful laparoscopic splenectomy for a patient with immune thrombocytopenic purpura (ITP). The authors are from Albert Szent-Gyorgyi Health Center and University of Szeged in Hungary.
Patient selection: therapy-resistant immune thrombocytopenic purpura (ITP)
The response to an intervention depends on the post-therapeutic platelet count.
Post-Therapy Platelet Count
Response
> 100,000 per µL
complete
30,000 to 100,000
partial
< 30,000 per µL
nonresponse
Predictors of a response to splenectomy:
(1) age < 50 years
(2) responsive to preoperative steroid therapy (steroid dependent)
Laparoscopic splenectomy is associated with a good short and long-term response.
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Specialty: Hematology Oncology
