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首页> 外文期刊>Surgical Endoscopy >Intraoperative scintigraphic localization and laparoscopic excision of accessory splenic tissue.
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Intraoperative scintigraphic localization and laparoscopic excision of accessory splenic tissue.

机译：术中闪烁扫描定位和腹腔镜切除脾脏附件组织。

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The recent advent of laparoscopic splenectomy for the treatment of refractory idiopathic thrombocytopenic purpura (ITP) has been embraced by surgeons and hematologists in many institutions. However, the occurrence of accessory splenic tissue in a proportion of such splenectomies, either concurrently or later, raises the question of how to deal with this problem when it arises. We report that the laparoscopic approach, facilitated by lateral positioning, can be successfully used for the treatment of an accessory spleen causing recurrent ITP. The use of intraoperative nuclear imaging can greatly aid the localization and provide confirmation of complete excision of the nuclear focus, especially for a very small accessory spleen.
机译：在许多机构中，最近腹腔镜脾切除术的出现已用于治疗难治性特发性血小板减少性紫癜（ITP）。但是，同时或以后在一定比例的这种脾切除术中附属脾组织的出现提出了如何处理该问题的问题。我们报告说，腹腔镜方法，通过侧向定位的便利，可以成功地用于治疗引起复发性ITP的辅助脾。术中核成像的使用可以极大地帮助定位，并提供核焦点完全切除的确认，尤其是对于非常小的副脾。

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