Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Comment on: Impact of vitamin D deficiency on bone health after Roux-en-Y gastric bypass and sleeve gastrectomy: a large propensity-matched cohort study.

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery·2026
Same author

In Reply to the Letter to the Editor in Response to "Palliative care in patients admitted with primary burn injury".

Journal of burn care & research : official publication of the American Burn Association·2026
Same author

Real-world Physical Activity and Sedentary Time Trends in Patients Undergoing Obesity Treatment: Insights From the All of Us Research Program.

Obesity surgery·2026
Same author

Palliative Care in Patients Admitted with Primary Burn Injury.

Journal of burn care & research : official publication of the American Burn Association·2025
Same author

Metabolic and bariatric surgery outcomes in patients with gastroparesis: a retrospective analysis of the 2016 to 2022 Nationwide Readmissions Database.

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract·2025
Same author

Factors Associated with Preoperative Attrition from a Large, Racially and Ethnically Representative Bariatric Program in the USA: A Single-Center Retrospective, Cohort Study.

Obesity surgery·2025

Related Experiment Video

Updated: Apr 18, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

1.0K

Trends in splenectomy: where does laparoscopy stand?

Gurdeep S Matharoo1, John N Afthinos2, Karen E Gibbs2

  • 1Department of Surgery, Barnabas Health Medical Group, Howell, New Jersey, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 15, 2015
PubMed
Summary

Laparoscopic splenectomy (LS) offers better outcomes than open surgery (OS), yet remains underused. While LS use increased, higher conversion rates suggest a need for experienced surgeons.

Keywords:
Conversion to openLaparoscopyNIS databaseSplenectomy

More Related Videos

Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device
04:40

Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device

Published on: November 4, 2022

1.5K
Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
02:09

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

1.3K

Related Experiment Videos

Last Updated: Apr 18, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

1.0K
Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device
04:40

Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device

Published on: November 4, 2022

1.5K
Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
02:09

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

1.3K

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Outcomes Research
  • Health Services Research

Background:

  • Laparoscopic splenectomy (LS) demonstrates superior patient outcomes compared to open splenectomy (OS).
  • Despite known benefits, the adoption of LS in clinical practice appears limited.
  • Nationwide trends in the utilization of LS require evaluation.

Purpose of the Study:

  • To assess the national trends in the utilization of laparoscopic splenectomy (LS).
  • To compare outcomes between LS and open splenectomy (OS).
  • To identify factors influencing the adoption of LS.

Main Methods:

  • Analysis of the Nationwide Inpatient Sample (NIS) database from 2005-2010.
  • Inclusion criteria focused on elective splenectomies, excluding partial, trauma, vascular, or pancreatectomy cases.
  • Evaluation of patient demographics, comorbidities, postoperative complications, morbidity, mortality, and length of stay.

Main Results:

  • Out of 37,006 splenectomies, 13.3% were LS, 81.4% OS, and 5.3% converted to open (CS).
  • LS group showed significantly lower morbidity (7.4% vs 10.4%) and mortality (1.3% vs 2.5%) than OS.
  • The LS group also experienced a shorter hospital stay (5.6 days vs 7.5 days).

Conclusions:

  • Laparoscopic splenectomy (LS) is underutilized in the US despite its advantages.
  • A modest increase in LS utilization was observed (8.8% to 13%).
  • Higher conversion rates for LS indicate a need for advanced laparoscopic skills and surgeon specialization.