Management of thrombocytopenia due to liver cirrhosis: A review

Table 3 Comparison between partial splenic embolization and laparoscopic splenectomy for thrombocytopenia caused by liver cirrhosis

Procedure	PSE	L-splenectomy (HALS)
Invasiveness	+	+++
	(no transfusion)	(rarely with major bleeding)
	(local anesthesia)	(general anesthesia)
Platelet increase	++	+++
Specific complication	Splenic abscess	Portal thrombosis, OPSI
Available in case with HCC	Synchronous TACE	Synchronous RFA or hepatectomy

PSE: Partial splenic embolization; L-Splenectomy: Laparoscopic splenectomy; HALS: Hand-assisted laparoscopic splenectomy; OPSI: Overwhelming post-splenectomy infection; HCC: Hepatocellular carcinoma; TACE: Trans-arterial chemoembolization; RFA: Radio frequency ablation.