<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182021000100014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Esplenectomía laparoscópica en esplenomegalia masiva. A propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Laparoscopics plenectomy in massives plenomegaly. About a case]]></article-title>
<article-title xml:lang="pt"><![CDATA[Esplenectomia laparoscópica na esplenomegalia maciça. Sobre um caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosales Aguilar]]></surname>
<given-names><![CDATA[Yurennys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Abreu]]></surname>
<given-names><![CDATA[Yolaisy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Gómez]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital Provincial Universitario Carlos Manuel de Céspedes ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182021000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182021000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182021000100014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el bazo constituye el órgano reticuloendotelial mayor del cuerpo. Este puede ser afectado por una serie de desórdenes primarios y secundarios indicativos de esplenectomía. Las primeras esplenectomías por técnicas de mínimo acceso fueron reportadas entre los años 1991 y 1992, encontrando entre sus ventajas una más pronta recuperación, mejores resultados estéticos, y menor sangrado intraoperatorio.  Presentación del caso:  paciente de 43 años de edad que es intervenida por esplenomegalia masiva secundaria a púrpura trombocitopénica inmunológica, realizándosele esplenectomía laparoscópica satisfactoria.  Discusión: las esplenomegalias masivas son aquellas cuando el bazo supera los 20 cm de longitud entre sus polos superior e inferior, siendo este criterio contraindicación relativa para esplenectomía laparoscópica.  Conclusiones: la extirpación exitosa del bazo por cirugía laparoscópica en aquellos pacientes con esplenomegalia masiva puede ser factible siempre que se cumplan una serie de condiciones elementales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  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.  Discussion:  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.  Conclusions:  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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  o baço é o maior órgão reticuloendotelial do corpo. Pode ser afetada por uma série de distúrbios primários e secundários indicativos de esplenectomia. As primeiras esplenectomias por técnicas de acesso mínimo foram relatadas entre 1991 e 1992, encontrando entre suas vantagens uma recuperação mais rápida, melhores resultados estéticos e menor sangramento intraoperatório.  Apresentação do caso:  paciente de 43 anos que é ensinado por esplenomegagally em massa secundário ao roxo trombocitopenico imunológico, realizando esplenectomia laparoscópica satisfatória.  Discussão:  esplenomegalia maciça é aqueles em que o baço excede 20 cm de comprimento entre seus polos superior e inferior, sendo este critério relativa contraindicação para esplenectomia laparoscópica.  Conclusões:  a remoção bem sucedida do baço por cirurgia laparoscópica em pacientes com esplenomegalia maciça pode ser viável desde que uma série de condições elementares sejam atendidas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía]]></kwd>
<kwd lng="es"><![CDATA[Laparoscopia]]></kwd>
<kwd lng="es"><![CDATA[Bazo]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopy]]></kwd>
<kwd lng="en"><![CDATA[Spleen]]></kwd>
<kwd lng="pt"><![CDATA[Cirurgia]]></kwd>
<kwd lng="pt"><![CDATA[Laparoscopia]]></kwd>
<kwd lng="pt"><![CDATA[Baço]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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