Single-incision laparoscopic splenectomy for idiopathic thrombocytopenic purpura: Report of a case

Kenichi Oyama, Akira Sasaki, Takehiro Chiba, Hiroyuki Nitta, Koki Otsuka, Go Wakabayashi

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)


We herein report a case of single-incision laparoscopic access (SILA) splenectomy for idiopathic thrombocytopenic purpura (ITP). A 24-year-old female patient with a diagnosis of ITP received corticosteroid therapy. However, as the side effects became serious, a splenectomy option was chosen. The SILA splenectomy using a transumbilical approach is cosmetically more attractive than a conventional laparoscopic approach, but it has an increased risk of major bleeding due to technical considerations. Therefore, we prioritized the patient's safety during the SILA splenectomy by choosing a left lower abdominal approach. The operating time was 123 min and blood loss was 1 ml. This was comparable to a conventional laparoscopic splenectomy. The present case appears to be the first SILA splenectomy reported in Japan. In our experience, a SILA splenectomy is feasible and safe, with favorable perioperative and shortterm patient outcomes. Further studies are necessary before the universal adoption of this new technique.

Original languageEnglish
Pages (from-to)1091-1094
Number of pages4
JournalSurgery Today
Issue number8
Publication statusPublished - 08-2011
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery


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