{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T00:02:39Z","timestamp":1703635359368},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,5,28]],"date-time":"2014-05-28T00:00:00Z","timestamp":1401235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,5,28]],"date-time":"2014-05-28T00:00:00Z","timestamp":1401235200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>It is a technical challenge to perform laparoscopic splenectomy (LS) on patients with liver cirrhosis. The purpose of this article is to share our experience with performing LS in the setting of hypersplenism secondary to liver cirrhosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 43\u00a0LSs for hypersplenism secondary to liver cirrhosis were performed between September 2003 and January 2013. The patients studied in this series were consecutively enrolled. All of the surgeries were performed by a single surgeon. We divided our patients into two groups based on whether splenogastric ligament\u2010entranced laparoscopic splenectomy (SLELS) was used. Data were collected retrospectively by chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patients in the two groups had comparable demographic characteristics. Patients who underwent LS with SLELS (group 2) required less operating time (195.2 \u00b1 45.8 vs. 227.7 \u00b1 52.1\u00a0min, <jats:italic>p<\/jats:italic> = 0.042) and suffered less blood loss (160.4 \u00b1 107.6 vs. 270.1 \u00b1 231.2\u00a0ml, <jats:italic>p<\/jats:italic> = 0.031). No significant difference was found in terms of blood transfusion, conversion, postoperative hospital stay, and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>It is safe and feasible to perform LS on patients with hypersplenism secondary to liver cirrhosis. In the procedure of SLELS, we highlight the importance of sufficient elevation the upper pole of the spleen.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-014-2652-6","type":"journal-article","created":{"date-parts":[[2014,5,27]],"date-time":"2014-05-27T18:11:08Z","timestamp":1401214268000},"page":"2934-2939","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A Novel Method for Laparoscopic Splenectomy in the Setting of Hypersplenism Secondary to Liver Cirrhosis: Ten Years\u2019 Experience"],"prefix":"10.1002","volume":"38","author":[{"given":"Yunqiang","family":"Cai","sequence":"first","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery, West China Hospital Sichuan University No. 37, Guo Xue Xiang 610041 Chengdu Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xubao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of 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