ArticleSurgical endoscopy2026
Retrospective evaluation of anatomical laparoscopic single-port partial splenectomy guided by three-dimensional CT reconstruction planning for hereditary spherocytosis.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe present study compared the efficacy of laparoscopic partial splenectomy (LPS) and laparoscopic total splenectomy (LTS) in treating hereditary spherocytosis, evaluated the safety of anatomy-guided splenectomy using three-dimensional (3D) reconstruction planning, and determined the optimal residual splenic volume threshold.
methodsThis study included 12 children with hereditary spherocytosis who required single-port laparoscopic splenectomy. Preoperative computed tomography (CT) imaging was used to evaluate the splenic anatomy, vascular topography, and spatial relationships with the pancreas to customize the surgical approach. The operation duration, intraoperative blood loss, and pre/postoperative hematological and immunological parameters were recorded for all patients. The data were statistically analyzed using SPSS (version 26.0). In two cases involving subtotal splenectomy, the residual splenic volume was quantified by 3D reconstruction. Patients were monitored postoperatively for hematological dynamics-particularly platelet counts-and adverse events.
resultsAll laparoscopic splenectomies (total/partial) were successfully completed without intraoperative or postoperative complications. Compared with LTS, LPS resulted in a significantly slower trajectory of platelet counts (P < 0.001), whereas postoperative red blood cell (RBC) and hemoglobin levels showed no intergroup differences. Further assessments are needed to determine immunological outcomes. In the two subtotal splenectomy cases, 3D CT reconstruction precisely quantified residual splenic volumes at 3.38 and 6.43% of the preoperative splenic mass postoperatively. Both techniques showed comparable efficacy in terms of resolving anemia and controlling hemolysis. However, compared with LTS, LPS resulted in a slower trajectory for platelet count after surgery. The recovery patterns of RBC counts and hemoglobin levels were comparable between the two approaches.
conclusionThe present study demonstrated that 3D CT reconstruction planning provides a safe and reliable method for laparoscopic splenectomy. The residual splenic volume must be minimized to prevent excessive retention, and preservation of less than 10% of the superior splenic pole is recommended to minimize recurrence risk. The present findings need further validation in multicenter studies with larger sample sizes in the future.
Indexed as
Identifiers
42257951What OpenQuestion holds
Registered trials
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.