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


> 100,000 per µL


30,000 to 100,000


< 30,000 per µL



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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