Management of thrombocytopenia due to liver cirrhosis: A review

doi:10.3748/wjg.v20.i10.2595

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Mar 14, 2014; 20(10): 2595-2605
Published online Mar 14, 2014. doi: 10.3748/wjg.v20.i10.2595

Table 3 Comparison between partial splenic embolization and laparoscopic splenectomy for thrombocytopenia caused by liver cirrhosis

Procedure	PSE	L-splenectomy (HALS)
Invasiveness	+	+++
	(no transfusion)	(rarely with major bleeding)
	(local anesthesia)	(general anesthesia)
Platelet increase	++	+++
Specific complication	Splenic abscess	Portal thrombosis, OPSI
Available in case with HCC	Synchronous TACE	Synchronous RFA or hepatectomy

PSE: Partial splenic embolization; L-Splenectomy: Laparoscopic splenectomy; HALS: Hand-assisted laparoscopic splenectomy; OPSI: Overwhelming post-splenectomy infection; HCC: Hepatocellular carcinoma; TACE: Trans-arterial chemoembolization; RFA: Radio frequency ablation.

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Citation: Hayashi H, Beppu T, Shirabe K, Maehara Y, Baba H. Management of thrombocytopenia due to liver cirrhosis: A review. World J Gastroenterol 2014; 20(10): 2595-2605
URL: https://www.wjgnet.com/1007-9327/full/v20/i10/2595.htm
DOI: https://dx.doi.org/10.3748/wjg.v20.i10.2595

Hayashi H, Beppu T, Shirabe K, Maehara Y, Baba H. Management of thrombocytopenia due to liver cirrhosis: A review. World J Gastroenterol 2014; 20(10): 2595-2605 [PMID: 24627595 DOI: 10.3748/wjg.v20.i10.2595]

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