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On-line version ISSN 1028-4818


ROSALES AGUILAR, Yurennys; LOPEZ ABREU, Yolaisy  and  FERNANDEZ GOMEZ, Andrés. Laparoscopics plenectomy in massives plenomegaly. About a case. Multimed [online]. 2021, vol.25, n.1, e2252.  Epub Jan 01, 2021. ISSN 1028-4818.


the spleen is the largest reticuloendothelial organ in the body. This can be affected by a series of primary and secondary disorders indicative of splenectomy. The first splenectomies using minimal access techniques were reported between 1991 and 1992, finding among their advantages a faster recovery, better aesthetic results, and less intraoperative bleeding.

Case presentation:

43-year-old patient who underwent surgery for massive splenomegaly secondary to immunological thrombocytopenic purpura, undergoing satisfactory laparoscopic splenectomy.


massive splenomegalies are those when the spleen exceeds 20 cm in length between its upper and lower poles, this criterion being a relative contraindication for laparoscopic splenectomy.


the successful removal of the spleen by laparoscopic surgery in those patients with massive splenomegaly may be feasible provided that a series of elementary conditions are met.

Keywords : Surgery; Laparoscopy; Spleen.

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