GuidelineSurgical endoscopy2008
Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES).
Guideline in Surgical endoscopy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 7 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
119 citing papers in PubMed, 7 syntheses or guidelines pooled it, 292 citations in OpenAlex.
- Outcomes of Laparoscopic Splenectomy for Treatment of Splenomegaly: A Systematic Review and Meta-analysis.World journal of surgery · 2021Pooled it
- Laparoscopic splenectomy is a better surgical approach for spleen-relevant disorders: a comprehensive meta-analysis based on 15-year literatures.Surgical endoscopy · 2016Pooled it
- Laparoscopic versus open splenectomy in children: a systematic review and meta-analysis.Pediatric surgery international · 2016Pooled it
- A meta-analysis of perioperative outcomes of laparoscopic splenectomy for hematological disorders.World journal of surgery · 2012Pooled it
- Single-incision laparoscopic splenectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Laparoscopic Splenectomy and Azygoportal Disconnection: a Systematic Review.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Laparoscopic Splenectomy for Benign Hematological Disorders in Adults: A Systematic Review.In vivo (Athens, Greece)Pooled it
- Randomized controlled trial to investigate the impact of anticoagulation on the incidence of splenic or portal vein thrombosis after laparoscopic splenectomy.Canadian journal of surgery. Journal canadien de chirurgie · 2011Trial
- Prospective randomized comparison of clinical results between hand-assisted laparoscopic and open splenectomies.Surgical endoscopy · 2010Trial
- Pediatric laparoscopic splenectomy using a repurposed sterile diathermy pouch as a retrieval bag: preliminary experience.BMC surgery · 2026Article
- Article
- Single+1 Port Robotic Splenectomy Using the da Vinci SP System-Experience of a Single Centre.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Article
- Robotic partial splenectomy: a new standardized approach.Surgery today · 2026Article
- Laparoscopic treatment for a rare case of giant spleen with splenic arteriovenous fistula and giant vein aneurysm: multidisciplinary management and case report.Journal of surgical case reports · 2025Article
- Surgical management of giant splenomegaly in chronic myeloid leukemia: a challenging splenectomy case.Journal of surgical case reports · 2025Article
- Single-incision laparoscopic partial splenectomy for benign pediatric splenic tumors: a retrospective comparative study.Frontiers in pediatrics · 2025Article
- Laparoscopic partial splenectomy for traumatic splenic rupture patients is safe and feasible.Frontiers in surgery · 2025Article
- [Surgery for primary splenic tumors and metastases of the spleen].Chirurgie (Heidelberg, Germany) · 2023Review
- Comparison of long-term outcomes of splenectomy with periesophagogastric devascularization and transjugular intrahepatic portosystemic shunt in treating cirrhotic portal hypertension patients with recurrent variceal bleeding.Langenbeck's archives of surgery · 2023Article
- Splenic Artery Steal Syndrome in Patients with Liver Cirrhosis: A Retrospective Clinical Study.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
59 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 11 institutions in 9 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough laparoscopic splenectomy (LS) has become the standard approach for most splenectomy cases, some areas still remain controversial. To date, the indications that preclude laparoscopic splenectomy are not clearly defined. In view of this, the European Association for Endoscopic Surgery (EAES) has developed clinical practice guidelines for LS.
methodsAn international expert panel was invited to appraise the current literature and to develop evidence-based recommendations. A consensus development conference using a nominal group process convened in May 2007. Its recommendations were presented at the annual EAES congress in Athens, Greece, on 5 July 2007 for discussion and further input. After a further Delphi process between the experts, the final recommendations were agreed upon.
resultsLaparoscopic splenectomy is indicated for most benign and malignant hematologic diseases independently of the patient's age and body weight. Preoperative investigation is recommended for obtaining information on spleen size and volume as well as the presence of accessory splenic tissue. Preoperative vaccination against meningococcal, pneumococcal, and Haemophilus influenzae type B infections is recommended in elective cases. Perioperative anticoagulant prophylaxis with subcutaneous heparin should be administered to all patients and prolonged anticoagulant prophylaxis to high-risk patients. The choice of approach (supine [anterior], semilateral or lateral) is left to the surgeon's preference and concomitant conditions. In cases of massive splenomegaly, the hand-assisted technique should be considered to avoid conversion to open surgery and to reduce complication rates. The expert panel still considered portal hypertension and major medical comorbidities as contraindications to LS.
conclusionDespite a lack of level 1 evidence, LS is a safe and advantageous procedure in experienced hands that has displaced open surgery for almost all indications. To support the clinical evidence, further randomized controlled trials on different issues are mandatory.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.