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There were 14 observational studies comparing pre\u2010 and postoperative hematologic parameters. Secondary outcomes include in\u2010hospital infections, surgical complications, symptomatic recurrence, and biliary disease. TS is more effective than PS to increase hemoglobin (3.6 g\/dl vs. 2.2 g\/dl) and reduce reticulocytes (12.5% vs. 6.5%) after 1 year; outcomes following PS are stable for at least 6 years. There were no cases of overwhelming postsplenectomy sepsis. 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