Robotic Splenectomy for Refractory Immune Thrombocytopenic Purpura.
Fernando Revoredo Rego, Mónica Uribe León, Lucía Ronceros Salas et al.
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Case in brief
A 40-year-old woman with a 4-year history of immune thrombocytopenic purpura, obesity, and Hashimoto thyroiditis presented with severe thrombocytopenia and abnormal uterine bleeding after failing medical therapy. She underwent a robotic splenectomy using the da Vinci Xi platform, which lasted 240 minutes with an estimated blood loss of 200 mL. The postoperative recovery was smooth, and she was discharged on day 3.
Diagnostic / clinical pearl
Robotic splenectomy can be a safe and effective alternative for patients with immune thrombocytopenic purpura, particularly in challenging cases requiring enhanced visualization.