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Published in:

01-03-2016 | Original Article

Laparoscopic versus open splenectomy in children: a systematic review and meta-analysis

Authors: Shaoguang Feng, Yuhui Qiu, Xiang Li, Huajun Yang, Chen Wang, Junjia Yang, Weiguang Liu, Aihe Wang, Xianming Yao, Xin-He Lai

Published in: Pediatric Surgery International | Issue 3/2016

Abstract

Purpose

We conducted a systematic review and meta-analysis to compare the clinical outcomes between laparoscopic splenectomy and the traditional open splenectomy in children.

Methods

Literature searches were conducted to identify studies having compared the laparoscopic splenectomy (LS) and open splenectomy (OS) for children. Parameters such as operative time, blood loss, length of postoperative stay, the removal of accessory spleens and postoperative complications including postoperative high fever, acute chest syndrome (ACS), and ileus were pooled and compared by meta-analysis.

Results

Among the 922 pediatric participants included in the 10 studies, 508 had received LS and 414 OS. There were shorter length of hospital stays, less blood loss, and longer operative times with the LS approach compared with OS. However, no significant difference was found between LS and OS in the secondary outcome, such as the removal of accessory spleens or postoperative complications including postoperative high fever, ACS, and ileus.

Conclusion

LS is a feasible, safe, and effective surgical procedure alternative to OS for pediatric patients. Compared with OS, LS has the advantage of shorter hospital stay and less blood loss. Besides, total postoperative complications may be slightly lower in LS. We conclude that LS should be considered an acceptable option for children.

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Title: Laparoscopic versus open splenectomy in children: a systematic review and meta-analysis
Authors: Shaoguang Feng
Yuhui Qiu
Xiang Li
Huajun Yang
Chen Wang
Junjia Yang
Weiguang Liu
Aihe Wang
Xianming Yao
Xin-He Lai
Publication date: 01-03-2016
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 3/2016
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-015-3845-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic versus open splenectomy in children: a systematic review and meta-analysis

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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