{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:01:05Z","timestamp":1767650465299},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[1994,8,1]],"date-time":"1994-08-01T00:00:00Z","timestamp":775699200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1994,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Laparoscopic splenectomy was performed on eight patients with idiopathic thrombocytopenic purpura refractory to medical treatment. Preoperative infusion of immunoglobulin G \u03b3-globulin was used to boost the platelet count. Accessory spleens were sought by preoperative computed tomography and peroperative examination of the usual anatomical locations. Seven patients underwent successful laparoscopic splenectomy, with a mean postoperative stay of 3\u00b76 days. One patient with an accessory spleen detected before operation but not during laparoscopy required conversion to open surgery for control of haemorrhage from the splenic hilum. Another patient had a transient pancreatic fistula. Laparoscopic splenectomy is feasible and safe in patients with idiopathic thrombocytopenic purpura. Long-term results require evaluation as detection of accessory spleens can prove difficult during laparoscopy.<\/jats:p>","DOI":"10.1002\/bjs.1800810830","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T21:03:15Z","timestamp":1172955795000},"page":"1171-1172","source":"Crossref","is-referenced-by-count":33,"title":["Laparoscopic splenectomy for idiopathic thrombocytopenic purpura"],"prefix":"10.1093","volume":"81","author":[{"given":"J F","family":"Gigot","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery, St Luc University Hospital, Louvain Medical School , 10 Avenue Hippocrate, 1200 Brussels,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M L","family":"Healy","sequence":"additional","affiliation":[{"name":"Department of Haematology, St Luc University Hospital, Louvain Medical School , 10 Avenue Hippocrate, 1200 Brussels,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Ferrant","sequence":"additional","affiliation":[{"name":"Department of Haematology, St Luc University Hospital, Louvain Medical School , 10 Avenue Hippocrate, 1200 Brussels,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J L","family":"Michaux","sequence":"additional","affiliation":[{"name":"Department of Haematology, St Luc University Hospital, Louvain Medical School , 10 Avenue Hippocrate, 1200 Brussels,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Njinou","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, St Luc University Hospital, Louvain Medical School , 10 Avenue Hippocrate, 1200 Brussels,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P J","family":"Kestens","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, St Luc University Hospital, Louvain Medical School , 10 Avenue Hippocrate, 1200 Brussels,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1994,8,1]]},"reference":[{"key":"2024092815351777800_bib1","first-page":"497","article-title":"Splenectomy for thrombocytopenia","volume":"88","author":"Schwartz","year":"1980","journal-title":"Surgery"},{"key":"2024092815351777800_bib2","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1007\/BF02067017","article-title":"Surgical treatment of immune thrombocytopenic purpura","volume":"16","author":"Chirletti","year":"1992","journal-title":"World J Surg"},{"key":"2024092815351777800_bib3","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1002\/bjs.1800791230","article-title":"Laparoscopic splenectomy","volume":"79","author":"Delaitre","year":"1992","journal-title":"Br J Surg"},{"key":"2024092815351777800_bib4","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1007\/BF02210877","article-title":"Laparoscopic splenectomy","volume":"6","author":"Carroll","year":"1992","journal-title":"Surg Endosc"},{"key":"2024092815351777800_bib5","first-page":"248","article-title":"Laparoscopic splenectomy: operative technique and preliminary report","volume":"2","author":"Thibault","year":"1992","journal-title":"Surgical Laparoscopy and Endoscopy"},{"key":"2024092815351777800_bib6","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/0002-9343(80)90016-9","article-title":"Adult idiopathic thrombocytopenic purpura. Clinical findings and response to therapy","volume":"69","author":"Difino","year":"1980","journal-title":"Am J Med"},{"key":"2024092815351777800_bib7","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1097\/00000658-194602000-00008","article-title":"The surgical significance of the accessory spleen","volume":"123","author":"Curtis","year":"1946","journal-title":"Ann Surg"},{"key":"2024092815351777800_bib8","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1097\/00000658-194808000-00013","article-title":"Recurrent primary thrombocytopenic purpura with accessory spleens; review of the literature","volume":"128","author":"Thorek","year":"1948","journal-title":"Ann Surg"},{"key":"2024092815351777800_bib9","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1001\/archsurg.1981.01380170121022","article-title":"Splenectomy for immune thrombocytopenic purpura","volume":"116","author":"Mintz","year":"1981","journal-title":"Arch Surg"},{"key":"2024092815351777800_bib10","first-page":"225","article-title":"Splenectomy for idiopathic thrombocytopenic purpura","volume":"164","author":"Coon","year":"1987","journal-title":"Surg Gynecol Obstet"},{"key":"2024092815351777800_bib11","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1001\/archsurg.1969.01340120110019","article-title":"Increased incidence of accessory spleens in hematologic disease","volume":"98","author":"Olsen","year":"1969","journal-title":"Arch Surg"},{"key":"2024092815351777800_bib12","first-page":"442","article-title":"Accessory splenectomy in management of recurrent idiopathic thrombocytopenic purpura","volume":"53","author":"Verheyden","year":"1978","journal-title":"Mayo Clin Proc"},{"key":"2024092815351777800_bib13","first-page":"134","article-title":"Accessory splenectomy for idiopathic thrombocytopenic purpura","volume":"91","author":"Wallace","year":"1982","journal-title":"Surgery"},{"key":"2024092815351777800_bib14","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1007\/BF01655277","article-title":"Accessory spleens: clinical significance with particular reference to the recurrence of idiopathic thrombocytopenic purpura","volume":"9","author":"Rudowski","year":"1985","journal-title":"World J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800810830","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/81\/8\/1171\/59412893\/bjs1800810830.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/81\/8\/1171\/59412893\/bjs1800810830.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T15:35:32Z","timestamp":1727537732000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/81\/8\/1171\/6165781"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,8,1]]},"references-count":14,"journal-issue":{"issue":"8","published-online":{"date-parts":[[1994,8,1]]},"published-print":{"date-parts":[[1994,8,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800810830","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1994,8]]},"published":{"date-parts":[[1994,8,1]]}}}