JournalJSLS : Journal of the Society of Laparoendoscopic Surgeons
PublisherSociety of Laparoendoscopic Surgeons
MetadataShow full item record
AbstractBackground and Objectives: The use of laparoscopy in the trauma setting is gaining momentum, with more therapeutic procedures being performed. We evaluated the use of laparoscopic splenectomy among trauma patients with data from the National Trauma Database. We compared outcomes for trauma patients undergoing laparoscopic (LS) versus open splenectomy (OS). Methods: From the National Trauma Database (2007 to 2015), we identified all patients who underwent a total splenectomy. Patients who had other abdominal operations were excluded. All patients were categorized into 1 of 2 groups: LS or OS. Outcomes of in-hospital mortality, postoperative length of stay, and incidence of major complications between the 2 groups were compared. Bivariate parametric and nonparametric analyses were performed. Patients were then matched on baseline demographic and injury characteristics by using propensity score matching techniques, and we compared differences by using regression analysis. Results: A total of 25,408 patients underwent OS and 113 patients underwent LS (0.44%). Patients were significantly different at baseline, with the LS group being less severely injured. Bivariate analysis revealed no difference in length of stay (9 vs 8 days, P = .62), incidence of major complications (10% vs 15%, P = .24), or mortality (6% vs 11%, P = .23). LS was performed in 29.2% of patients beyond 24 hours from presentation compared with 9.5% in the OS (P < .001). Adjusted multivariate analysis showed no overall difference in outcomes. Conclusion: LS for trauma is increasingly being used at many centers throughout the United States. The procedure is safe, with outcomes similar to those of OS in selected trauma patients.
Identifier to cite or link to this itemhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85059501125&doi=10.4293%2fJSLS.2018.00050&partnerID=40&md5=f7c05d00b8fe78a62f02530720da665f; http://hdl.handle.net/10713/9213
- Refining the selection criteria for laparoscopic versus open splenectomy for splenomegaly.
- Authors: Feldman LS, Demyttenaere SV, Polyhronopoulos GN, Fried GM
- Issue date: 2008 Feb
- Laparoscopic versus open splenectomy in the pediatric population: a contemporary single-center experience.
- Authors: Reddy VS, Phan HH, O'Neill JA, Neblett WW, Pietsch JB, Morgan WM, Cywes R
- Issue date: 2001 Sep
- Laparoscopic Splenectomy for Massive Splenomegaly: Does Size Matter?
- Authors: Tsamalaidze L, Stauffer JA, Permenter SL, Asbun HJ
- Issue date: 2017 Oct
- [Introduction of laparoscopic splenectomy for the treatment of immune thrombocytopenic purpura].
- Authors: Kiudelis M, Endzinas Z, Mickevicius A, Reckauskas M
- Issue date: 2004 Apr
- Effect of spleen size on splenectomy outcome. A comparison of open and laparoscopic surgery.
- Authors: Targarona EM, Espert JJ, Cerdán G, Balagué C, Piulachs J, Sugrañes G, Artigas V, Trias M
- Issue date: 1999 Jun