title: Laparoscopy-assisted small incision splenectomy and open splenectomy in the treatment of hematologic diseases: a single-institution comparative experience.
abstract: OBJECTIVE
  To compare the clinical effect of small incision-assisted laparoscopic splenectomy (LS) and open splenectomy in the treatment of hematologic disease.
  
  
  METHODS
  The clinical data of 60 cases of small incision-assisted LS and 66 cases of splenectomy from October 1993 to May 2012 were retrospectively analyzed.
  
  
  RESULTS
  The blood loss, enterokinesia time, off-bed activity times, hospitalization time, and incidence of complications in the laparoscopic group decreased significantly than the open group. There was no significance of difference between the 2 groups in the mean operating time and medical costs (P>0.05).
  
  
  CONCLUSIONS
  Clinical effects of patients treated by small incision-assisted LS were better than those treated by open splenectomy. Small incision-assisted LS has advantages of microinvasion, safety, effectiveness, and quick recovery in the treatment of hematologic disease.
authors.affiliation: Department of General Surgery, The Second Hospital of Shandong University, Shandong, People's Republic of China. libo197399@hotmail.com
authors.forename: Bo
authors.initials: B
authors.lastname: Li
authors.forename: Jianing
authors.initials: J
authors.lastname: Liu
authors.forename: Yumeng
authors.initials: Y
authors.lastname: Shangguan
authors.forename: Bin
authors.initials: B
authors.lastname: Liu
authors.forename: Yuzhong
authors.initials: Y
authors.lastname: Qi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002681:China / Q000453:epidemiology; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006402:Hematologic Diseases / Q000601:surgery*; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000639:trends; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013156:Splenectomy / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult