This study is a retrospective analysis of a series of 199 patients who underwent LS for ITP from 1993 to 2015. The patients were divided into 3 groups according to platelet count: group I (<10×109/L), group II (10–50×109/L) and group III (>50×109/L).
Operative time was significantly lower in Group III compared to Group I and II (100 ± 53 and 105 ± 61 min, P<.025)). Intraoperative blood loss was statistically higher in group I (263 ± 551 ml) with respect to the other 2: group II (128 ± 352 ml) and group III (24 ± 62 ml) (P<.003). Hospital stay was 6.4 ± 5.8 days in group I, significantly higher compared to groups II and III (3.8 ± 2.3 and 3.2 ± 1.8 days, respectively (P<.003)).
Conducting a LS in ITP patients with low platelet counts is effective and safe.