Laparoscopic versus open splenectomy for portal hypertension: a systematic review of comparative studies.
BACKGROUND
Laparoscopic splenectomy has become the gold-standard procedure for normal to moderately enlarged spleens. However, the safety of laparoscopic splenectomy for patients with portal hypertension remains controversial. We carried out this systematic review to identify the feasibility and safety of laparoscopic splenectomy in treating portal hypertension.


METHODS
A systematic search for comparative studies that compared laparoscopic splenectomy with open splenectomy for portal hypertension was carried out. Studies were independently reviewed for quality, inclusion and exclusion criteria, demographic characteristics, and perioperative outcomes.


CONCLUSIONS
Although laparoscopic splenectomy is associated with longer operating time, it offers advantages over the open procedure in terms of less blood loss, lower operative complications, earlier resumption of oral intake, and shorter posthospital stay. Therefore, laparoscopic splenectomy is a safe and feasible intervention for portal hypertension.
Sichuan University, Chengdu, China.
Yunqiang
Y
Cai
Sichuan University, Chengdu, China.
Zhihong
Z
Liu
Sichuan University, Chengdu, China shoubulele@gmail.com.
Xubao
X
Liu
D016063:Blood Loss, Surgical / Q000503:physiopathology; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D061646:Operative Time; D061214:Patient Safety; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology; D012086:Reoperation; D013156:Splenectomy / Q000379:methods*; D016896:Treatment Outcome
comparative; laparoscopy; open; portal hypertension; splenectomy