title: [Comparison of laparoscopic and open splenectomy].
abstract: BACKGROUND
  Conventional operative techniques are gradually being replaced by minimally invasive surgical methods in the surgery of the spleen. We summarized our 10-year-experience after the introduction of laparoscopic splenectomy at the University of Szeged, Department of Surgery, comparing open and minimally invasive techniques.
  
  
  METHODS
  Between 1st January 2002 and 1st December 2011 we performed 141 splenectomies of which 17 were acute operations. Of the 124 elective procedures 54 were laparoscopic and 70 open operations. In 40 cases (open procedures) splenectomy was part of multivisceral surgery which were excluded from the analysis. In this retrospective analysis a comparison of laparoscopic and open elective technique was carried out.
  
  
  RESULTS
  Average operating time of laparoscopic procedures was slightly longer than that of open technique (133 vs. 122 minutes, p = 0.074). After the learning period, duration of laparoscopic procedures became shorter (first five years: 147 min., second five years: 118 min, p = 0.003), larger spleens were removed (220 vs. 450 grams, p = 0.063) and conversion rate became lower. In cases of laparoscopic procedures fewer reoperations needed to be performed (1.5% vs. 6%, p = 0.718), bowel motility recovered earlier (2 vs. 3 days, p = 0.002) and hospital stay was shorter (5 vs. 8 days, p ≤ 0.001).
  
  
  CONCLUSIONS
  Our study proves that laparoscopic splenectomy is a safe method with many advantages. Our results correlate with data of international publications.
authors: Szegedi Tudományegyetem Általános Orvostudományi Kar Sebészeti Klinika Szeged. aron.nyilas@gmail.com
authors: Aron
authors: A
authors: Nyilas
authors: Attila
authors: A
authors: Paszt
authors: Zsolt
authors: Z
authors: Simonka
authors: Szabolcs
authors: S
authors: Abrahám
authors: Tamás
authors: T
authors: Pál
authors: György
authors: G
authors: Lázár
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000744:Anemia, Hemolytic, Autoimmune / Q000601:surgery; D061887:Conversion to Open Surgery / Q000706:statistics & numerical data; D003560:Cysts / Q000601:surgery; D005260:Female; D005769:Gastrointestinal Motility; D006689:Hodgkin Disease / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000401:mortality / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008228:Lymphoma, Non-Hodgkin / Q000601:surgery; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000601:surgery; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013103:Spherocytosis, Hereditary / Q000601:surgery; D013156:Splenectomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality / Q000592:standards / Q000706:statistics & numerical data*; D013158:Splenic Diseases / Q000209:etiology* / Q000601:surgery*