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NTU Advanced Minimally Invasive Laparoscopic Surgical Team
Successfully Completed Splenectomy

Under the leadership of Professor Ming-Tsan Lin, the NTU Hospital advanced minimally invasive laparoscopic surgical team used technologies that were on a par with the top minimally invasive centers in the world and successfully completed a single-incision laparoscopic splenectomy to treat a patient with low blood platelets (thrombocytopenia). The whole operation lasted only 70 minutes.

Patients with immune thrombocytonepia purpura(ITP) are prone to have bruises in their bodies. Treatment of ITP usually starts with the use of steroids, but when the effect of drug treatment is not good, or the side effects of drug treatment are too overwhelming, the patients would have to undergo splenectomy. It is estimated that in Taiwan for every 100,000 ITP patients about 5-10 will have to undergo splenectomy. Clinically female patients outnumber male patients. Because taking steroids may cause complications such as moon face, while spleen surgery may cause pain and affect a person's outer appearance, patients are often caught in a dilemma. Consequently, minimally invasive laparoscopic surgery or a higher single incision minimally invasive splenectomy can solve this problem.

The NTU surgery was mainly performed by Dr. Chin-Yao Yang, who first ripped an incision in the patient's abdomen wall about 2.5 centimeters wide, then he inserted the base of the single incision surgery into the wound. From the base he inserted the laparoscopic light source which allowed him to operate the tools such as the ultrasonic knife and to complete surgical actions such as tissue separation, vascular treatment, etc., finally he used the laparoscopic automatic nail to cut off and suture the artery connected to the spleen, thus accomplishing the splenectomy. The operation was very smooth, as the patient began to drink water the first day after the operation, and started to eat the second day after the operation. In the third post surgery day, the patient was discharged from the Hospital and went home to rest.

Single-incision minimally invasive splenectomy was first published in international journals in 2009 by the Turkish minimally invasive center. So far there are fewer than 50 instances of single-incision splenectomy in the world. In Asia, only South Korea published three cases of single incision minimally invasive splenectomy, and the average operation time was 2 to 3 hours. The NTU Hospital has accumulated over 200 cases of laparoscopic splenectomy in the last 17 years. For the single-incision minimally invasive splenectomy conducted at NTU Hospital this time, the length of surgery was only 70 minutes.

The NTU Hospital advanced minimally invasive surgical team will continue to serve its patients with the safest and state-of-the-art medical technologies. Because NTU Hospital's medical services and its academic achievements are widely recognized internationally, it received authorization from JASGO this year, and will host the 1st Taipei International Minimally Invasive Surgical Seminar from June 18th to 19th as well as the Seminar on Continuing Education for Minimally Invasive Surgery at the same time. In due course, the NTU Hospital will publish many theses related to minimally invasive surgery and hold new book publication announcements with photos of minimally invasive surgeries. Young physicians interested in minimally invasive surgery are welcome to attend these two seminars to celebrate the 115th anniversary of NTU Hospital.

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