Clinical comparative study of laparoscopic partial splenectomy and open partial splenectomy

Area of Science:

• Surgical Oncology
• Minimally Invasive Surgery
• Abdominal Surgery

Background:

• Benign splenic tumors and traumatic splenic rupture necessitate splenic resection.
• Open partial splenectomy (OPS) is a traditional approach.
• Laparoscopic partial splenectomy (LPS) is an emerging minimally invasive alternative.

Purpose of the Study:

• To compare the feasibility, safety, and early postoperative recovery of LPS versus OPS.
• To evaluate outcomes in patients with benign splenic tumors and traumatic splenic rupture.

Main Methods:

• Retrospective analysis of 110 patients undergoing splenic resection (March 2019-May 2022).
• Comparison of OPS (n=55) and LPS (n=55) groups, including patients with traumatic splenic rupture and benign splenic tumors.
• Collection and statistical analysis of preoperative, intraoperative, and postoperative data.

Main Results:

• No significant difference in general patient data between groups.
• LPS group showed reduced postoperative analgesia needs and faster defecation recovery (p < 0.05).
• LPS group exhibited lower inflammatory markers (WBC, WLR, NLR, MLR, CRP, PCT, IL-6) post-surgery (p < 0.05).

Conclusions:

• Laparoscopic partial splenectomy (LPS) demonstrates significant advantages over open partial splenectomy (OPS).
• LPS offers minimal surgical trauma, reduced early postoperative inflammatory response, and milder pain.
• Faster recovery of gastrointestinal function is observed with LPS.