Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Comparative analysis of laparoscopic versus open splenectomy

L M Brunt¹, J C Langer, M A Quasebarth

¹Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

American Journal of Surgery

|November 1, 1996

Summary

Laparoscopic splenectomy (LS) offers advantages over open splenectomy (OS) for spleen removal. This study found LS to be safe, with faster recovery and shorter hospital stays, suggesting it as the preferred method for normal-sized spleens.

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

A producer survey of knowledge and practises on gastrointestinal nematode control within the Australian goat industry.

Veterinary parasitology, regional studies and reports·2019

Same author

Guidelines for the management of postoperative soiling in children with Hirschsprung disease.

Pediatric surgery international·2019

Same author

Guidelines for the management of postoperative obstructive symptoms in children with Hirschsprung disease.

Pediatric surgery international·2017

Same author

Minimally invasive therapy for fetal sacrococcygeal teratoma: case series and systematic review of the literature.

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology·2014

Same author

Minimally invasive fetal therapy for hydropic lung masses: three different approaches and review of the literature.

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology·2013

Same author

Hybrid ventral hernia repair: technique and results.

Hernia : the journal of hernias and abdominal wall surgery·2013

Area of Science:

Minimally Invasive Surgery
Surgical Outcomes
Gastrointestinal Surgery

Background:

Laparoscopic splenectomy (LS) is utilized for various splenic disorders.
Direct comparisons between LS and open splenectomy (OS) are limited.

Purpose of the Study:

To compare the outcomes of laparoscopic splenectomy (LS) versus open splenectomy (OS).
To evaluate the safety and efficacy of LS for splenic disorder treatment.

Main Methods:

Retrospective comparison of 46 patients undergoing LS (n=26) or OS (n=20).
Analysis of operative times, blood loss, pain management, diet, length of stay, and complications.
Patient groups were similar in age, sex, and ASA classification.

Main Results:

Related Experiment Videos

LS was successfully completed in all cases.
LS had longer operative times initially, but improved with experience.
LS patients experienced less pain, faster diet resumption, and shorter hospital stays.
Blood loss and complication rates were similar between LS and OS.

Conclusions:

Laparoscopic splenectomy (LS) is technically safe and offers significant advantages over open splenectomy (OS).
LS should be considered the procedure of choice for removing normal or near-normal sized spleens.