Published online Sep 27, 2021. doi: 10.4240/wjgs.v13.i9.979
Peer-review started: February 9, 2021
First decision: March 30, 2021
Revised: April 10, 2021
Accepted: July 29, 2021
Article in press: July 29, 2021
Published online: September 27, 2021
Processing time: 220 Days and 19.1 Hours
Partial splenectomy for the treatment of hypersplenism is increasingly reported. To date no data stating which approach can be regarded as superior over the other are available.
The purpose of this study was to compare perioperative outcomes of laparoscopic partial splenectomy (LPS) and open partial splenectomy (OPS) in children and adolescents.
The objective of this study was to analyze and compare LPS and OPS with perioperative outcome parameters.
We retrospectively reviewed all patients (n = 26) that underwent LPS (n = 10) or OPS (n = 16) between January 2008 and July 2018. Clinical data including demographics, spleen characteristics, operative and hematological variables, postoperative outcomes including pain scores and analgesic requirements as well as postoperative adverse events were analyzed.
Perioperative hematological parameters, postoperative pain scores, analgesic requirements, adverse events according to the Clavien-Dindo classification and the comprehensive complication index, median time from operation to initiation of feeds, median time from operation to full feeds, median time from operation to mobilization and median length of hospital stay did not differ between LPS and OPS. Median operative time was longer in LPS compared to the OPS group. Calculated perioperative blood loss (mL of red blood cells) was higher in the LPS group compared to OPS.
This is the first study that compared outcomes of LPS and OPS. LPS appears to be a viable alternative to the open operation with a broadly similar perioperative outcome providing superior cosmesis of the ventral abdominal wall.
Our study results warrant a prospective multicentric clinical trial to compare outcomes in a larger group.