ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Laparoscopic Splenectomy for Trauma.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 25 citations in OpenAlex.
- Robotic assisted splenectomy after failure of splenic angioembolization in blunt abdominal trauma.Trauma case reports · 2025Article
- Postoperative outcomes after splenectomy: a 20-year single-center experience in Colombia.BMC surgery · 2024Article
- Article
- Laparoscopic surgery for splenic injuries in the era of non-operative management: current status and future perspectives.Surgery today · 2021Review
- Are we doing too many non-therapeutic laparotomies in trauma? An analysis of the National Trauma Data Bank.Surgical endoscopy · 2020Article
- Is the minimally invasive trauma surgeon the next (r)evolution of trauma surgery? Indications and outcomes of diagnostic and therapeutic trauma laparoscopy in a level 1 trauma centre.Updates in surgery · 2020Article
- Laparoscopic splenectomy after trauma: Who, when and how. A systematic review.Journal of minimal access surgeryReview
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThe 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).
methodsFrom 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.
resultsA 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,
conclusionLS 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.
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Registered trials
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