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Laparoscopic splenectomy is a better surgical approach for spleen-relevant disorders: a comprehensive meta-analysis based on 15-year literatures

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An Erratum to this article was published on 29 April 2016

Abstract

Background

Currently, whether laparoscopic or open splenectomy is a gold standard option for spleen abnormalities remains in controversy. There is in deficiency of academic evidence concerning the surgical efficacy and safety of both comparative managements. In order to surgically appraise the applied potentials of both approaches, we hence performed this comprehensive meta-analysis on the basis of 15-year literatures.

Methods

Via searching of PubMed, EMBASE, Web of Science, and Cochrane Library databases, overall 37 original articles were eligibly incorporated into our meta-analysis and subdivided into six sections. In accordance with the Cochrane Collaboration protocol, all statistical procedures were mathematically conducted in a standard manner. Publication bias was additionally evaluated by funnel plot and Egger’s test.

Results

Irrespective of the diversified splenic disorders, laparoscopic splenectomy was superior to open technique owing to its fewer estimated blood loss, shorter postoperative hospital stay as well as lower complication rate (P < 0.05). As for operative duration and perioperative mortality, a statistical similarity was observed amid both surgical measures (P > 0.05).

Conclusion

Technically, laparoscopic splenectomy should be recommended as a prior remedy with its advantage of rapid recovery and minimally physical damage, in addition to its comparably surgical efficacy against that of open manipulation.

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Acknowledgments

We sincerely appreciate members in our research group for methodological assistance.

Funding

Our study was financially funded by National Natural Science Foundation of China (No. 81372559) and Research Fund of Public Welfare in Health Industry, Health and Family Plan Committee of China (No. 201402015).

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Authors and Affiliations

  1. Department of General Surgery, Southwest Hospital, Third Military Medical University, No. 30 Gaotanyan Road, Shapingba District, Chongqing, 400038, China

    Ji Cheng & Peiwu Yu

  2. Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, 430022, Hubei Province, China

    Kaixiong Tao

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  1. Ji Cheng
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Correspondence to Peiwu Yu.

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Ji Cheng, Kaixiong Tao, and Peiwu Yu declare no conflict of interest.

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An erratum to this article can be found at http://dx.doi.org/10.1007/s00464-016-4949-z.

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Cheng, J., Tao, K. & Yu, P. Laparoscopic splenectomy is a better surgical approach for spleen-relevant disorders: a comprehensive meta-analysis based on 15-year literatures. Surg Endosc 30, 4575–4588 (2016). https://doi.org/10.1007/s00464-016-4795-z

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