Laparoscopic splenectomy in an elderly patient with splenic limphoma and splenomegaly

Antonelli G, Gianesini R, Mion E, Terranova C, De

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Antonelli et al. BMC Geriatrics 2010, 10(Suppl 1):A2 http://www.biomedcentral.com/1471-2318/10/S1/A2 MEETING ABSTRACT Open Access Laparoscopic splenectomy in an elderly patient with splenic limphoma and splenomegaly 1* 1 1 2 1G Antonelli , R Gianesini , E Mion , C Terranova , L De Santis From de Senectute: Age and Health Forum Catanzaro, Italy. 5-7 December 2009 Background 12 lymph-nodes. NH B-cell limphoma, mantle cell (liver, Limphomas represent a group of complex neoplastic splenic, lymphonodal localization). (Figure 1) diseases, characterized by hyperplasia and colonization of neoplastic lymphoid cells (T or B). Conclusions The aim of this study was to evaluate the result of Laparoscopic surgery in elderly patients reduces post- laparoscopic surgery for the treatment of a splenic lim- operative pain, length of ileum and cardiopulmonary phoma with splenomegaly in an elderly patient. Materials and methods Patient of 69 years, lipothymia and anemia, Hb 11,2 gr/ dl, leukocytis 7780/dl (neutrophilis 21,4%, lymphocytis 68,9%) PLTs 81000/dl, VES 34 mm/h (n.v. 2 -28). Abdomen ultrasonography: spleen increased in volume (bipolar diameter 21,8 cm), bright liver. TC abdomen: spleen increased of volume, with inferior pole in Douglas. Medullar biopsy: NH limphoma B-cell. Patient was candidate to undergo to laparoscopic splenectomy. Laparoscopy with open technique. Section of gastric breves vessels, closure of splenic artery.

Informations

• Publié par: biomed
• Publié le: 01 janvier 2010
• Nombre de lectures: 126
• Langue: English

Extrait

Antonelliet al.BMC Geriatrics2010,10(Suppl 1):A2 http://www.biomedcentral.com/14712318/10/S1/A2

M E E T I N GA B S T R A C TOpen Access Laparoscopic splenectomy in an elderly patient with splenic limphoma and splenomegaly 1* 11 21 G Antonelli, R Gianesini , E Mion , C Terranova , L De Santis Fromde Senectute: Age and Health Forum Catanzaro, Italy. 57 December 2009

Background Limphomas represent a group of complex neoplastic diseases, characterized by hyperplasia and colonization of neoplastic lymphoid cells (T or B). The aim of this study was to evaluate the result of laparoscopic surgery for the treatment of a splenic lim phoma with splenomegaly in an elderly patient.

Materials and methods Patient of 69 years, lipothymia and anemia, Hb 11,2 gr/ dl, leukocytis 7780/dl (neutrophilis 21,4%, lymphocytis 68,9%) PLTs 81000/dl, VES 34 mm/h (n.v. 2 28). Abdomen ultrasonography: spleen increased in volume (bipolar diameter 21,8 cm), bright liver. TC abdomen: spleen increased of volume, with inferior pole in Douglas. Medullar biopsy: NH limphoma Bcell. Patient was candidate to undergo to laparoscopic splenectomy. Laparoscopy with open technique. Section of gastric breves vessels, closure of splenic artery. Section of frenocolic and frenolienal ligaments, section of parietal peritoneum near the spleen. Section of splenic vessels on the inferior pole and sec tion of the grande omento. Section of splenic vein with vascular EndoGia. Legature with titanium clips and sec tion of splenic artery. Lymphnodes of splenic ilo are removed enbloc with the spleen. Liver biopsy. Ombeli cuspubic laparotomy to take the specimen.

Results There were no intra and postoperative complications th and the patient resumed oral food intake on the 8day. The definitive histological exam showed: spleen of abnormal size (diameters cm. 30x24x9, weight gr 2063),

1 Department of Surgery, Hospital“San Lorenzo”, Valdagno–VI, Italy

12 lymphnodes. NH Bcell limphoma, mantle cell (liver, splenic, lymphonodal localization). (Figure 1)

Conclusions Laparoscopic surgery in elderly patients reduces post operative pain, length of ileum and cardiopulmonary

Figure 1

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