{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T07:21:50Z","timestamp":1792653710976,"version":"4.5.0"},"reference-count":65,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,2,14]],"date-time":"2019-02-14T00:00:00Z","timestamp":1550102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,2,14]],"date-time":"2019-02-14T00:00:00Z","timestamp":1550102400000},"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":[[2019,6,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Laparoscopic partial splenectomy (LPS) is a challenging procedure. The aim of this review was to evaluate its feasibility, safety, and potential benefits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a comprehensive review for the years 1995\u20132018 to retrieve all relevant articles.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 44 studies with 252 patients undergoing LPS were reviewed. Six studies described combined operations. Ranges of operative time and estimated blood loss were 50\u2013225\u00a0min and 0\u20131200\u00a0ml, respectively. There are eight patients need blood transfusion in 231 patients with available data. The conversion rate was 3.6% (9\/252). Overall, 27 patients (10.7%;27\/252) developed postoperative or intraoperative complications. Overall mortality was 0% (0\/252). The length of postoperative stay (POS) varied (1\u201311\u00a0days). Among four comparative studies, one showed LPS could reduce POS than laparoscopic total splenectomy (LTS) (LTS 5.4\u2009\u00b1\u20091.8\u00a0days, LPS 4.2\u2009\u00b1\u20090.8\u00a0days, <jats:italic>p<\/jats:italic>\u2009=\u20090.027) and complications (pleural effusion (LTS 9\/22, LPS 0\/15, <jats:italic>p<\/jats:italic>\u2009=\u20090.005), splenic vein thrombosis (LTS 10\/22, LPS 0\/15, <jats:italic>p<\/jats:italic>\u2009=\u20090.002)). Another comparative study showed LPS may benefit emergency patients. However, one comparative study showed LPS was associated with more pain, longer time to oral intake, and longer POS in children with hereditary spherocytosis. The fourth comparative study showed robotic subtotal splenectomy was comparable to laparoscopy in terms of POS and complication. The main benefits were lower blood loss, vascular dissection time, and a better evaluation of splenic remnant volume.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In early series of highly selected patients, LPS appears to be feasible and safe when performed by experienced laparoscopic surgeons.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-019-04946-8","type":"journal-article","created":{"date-parts":[[2019,2,14]],"date-time":"2019-02-14T15:47:04Z","timestamp":1550159224000},"page":"1505-1518","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Feasibility and Safety of Laparoscopic Partial Splenectomy: A Systematic Review"],"prefix":"10.1002","volume":"43","author":[{"given":"Gangshan","family":"Liu","sequence":"first","affiliation":[{"name":"Department of the Second General Surgery Sheng Jing Hospital of China Medical University No. 36, Sanhao Street, Heping District Shenyang City Liaoning Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of the Second General Surgery Sheng Jing Hospital of China Medical University No. 36, Sanhao Street, Heping District Shenyang City Liaoning Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,14]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"285","volume-title":"Anonymous: Perspectives in pediatric pathology","author":"Singer DB","year":"1973"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102141.1999.01686.x"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s100240010145"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.04.020"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010006\u20100124\u20102"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010007\u20109509\u20100"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.06.036"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00261\u2010004\u20100181\u20108"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.25si055504"},{"key":"e_1_2_7_11_2","first-page":"133","article-title":"Laparoscopic partial splenic resection","volume":"5","author":"Uran\u00fcs S","year":"1995","journal-title":"Surg Laparosc Endosc"},{"key":"e_1_2_7_12_2","first-page":"306","article-title":"Partial laparoscopic splenectomy for trauma: technique and case report","volume":"5","author":"Poulin EC","year":"1995","journal-title":"Surg Laparosc Endosc"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3181f13e09"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.1998.8.237"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2006.16.414"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2007.0194"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2007.0245"},{"key":"e_1_2_7_18_2","first-page":"1751","article-title":"Laparoscopic partial splenectomy for large splenic epidermoid cyst","volume":"124","author":"Hua F","year":"2011","journal-title":"Chin Med J"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2013.06.011"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2017.02.013"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010014\u20103600\u20100"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2014.0143"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010014\u20103638\u2010z"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010015\u20102812\u20105"},{"key":"e_1_2_7_25_2","first-page":"1","article-title":"Laparoscopic partial splenectomy: a preferred method for select patients","volume":"00","author":"Cai HH","year":"2016","journal-title":"J Laparosc Adv Surg Tech"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-4227-8"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1089\/109264201750539781"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12024"},{"key":"e_1_2_7_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010010\u20100647\u20109"},{"key":"e_1_2_7_30_2","doi-asserted-by":"publisher","DOI":"10.4103\/0972\u20109941.110972"},{"key":"e_1_2_7_31_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40792\u2010016\u20100206\u2010x"},{"key":"e_1_2_7_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.02.012"},{"key":"e_1_2_7_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318155abb9"},{"key":"e_1_2_7_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.01.037"},{"key":"e_1_2_7_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010012\u20102249\u20109"},{"key":"e_1_2_7_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.02.005"},{"key":"e_1_2_7_37_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3182311ee4"},{"key":"e_1_2_7_38_2","doi-asserted-by":"publisher","DOI":"10.5114\/wiitm.2011.26261"},{"key":"e_1_2_7_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2006.10.003"},{"key":"e_1_2_7_40_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010010\u20100701\u20107"},{"key":"e_1_2_7_41_2","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/2011.7.4"},{"key":"e_1_2_7_42_2","doi-asserted-by":"publisher","DOI":"10.1186\/1477\u20107819\u201012\u201060"},{"key":"e_1_2_7_43_2","doi-asserted-by":"publisher","DOI":"10.4103\/0366\u20106999.151680"},{"key":"e_1_2_7_44_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i11.3420"},{"key":"e_1_2_7_45_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010016\u20105664\u20107"},{"key":"e_1_2_7_46_2","first-page":"16","article-title":"Feasibility and safety of emergency laparoscopic partial splenectomy","volume":"96","author":"Li H","year":"2017","journal-title":"Medicine"},{"key":"e_1_2_7_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.01.066"},{"key":"e_1_2_7_48_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e31815a889a"},{"key":"e_1_2_7_49_2","doi-asserted-by":"publisher","DOI":"10.1097\/00019509\u2010200004000\u201000013"},{"key":"e_1_2_7_50_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010018\u20101639\u20106"},{"key":"e_1_2_7_51_2","first-page":"17","article-title":"Treatment of hemangioma of the spleen by preoperative partial splenic embolization plus laparoscopic partial splenectomy: a case report","volume":"97","author":"Zheng L","year":"2018","journal-title":"Medicine"},{"key":"e_1_2_7_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ciresp.2017.03.004"},{"key":"e_1_2_7_53_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000000568"},{"key":"e_1_2_7_54_2","first-page":"255","article-title":"Role of the spleen in immunity. Immunologic consequences of splenectomy","volume":"103","author":"Tiron A","year":"2008","journal-title":"Chirurgia (Bucur)"},{"key":"e_1_2_7_55_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010005\u20100429\u20106"},{"key":"e_1_2_7_56_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(05)64276\u20106"},{"key":"e_1_2_7_57_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.24057"},{"key":"e_1_2_7_58_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(02)08163\u20101"},{"key":"e_1_2_7_59_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800760230"},{"key":"e_1_2_7_60_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2003.09.031"},{"key":"e_1_2_7_61_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.07.012"},{"key":"e_1_2_7_62_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010005\u20100039\u20103"},{"key":"e_1_2_7_63_2","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V97.2.399"},{"key":"e_1_2_7_64_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20104804(80)90076\u20101"},{"key":"e_1_2_7_65_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010008\u20109868\u20102"},{"key":"e_1_2_7_66_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010006\u20100131\u20103"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-019-04946-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-04946-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-04946-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-019-04946-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T23:23:29Z","timestamp":1704929009000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-019-04946-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,14]]},"references-count":65,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6,15]]}},"alternative-id":["10.1007\/s00268-019-04946-8"],"URL":"https:\/\/doi.org\/10.1007\/s00268-019-04946-8","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,14]]},"assertion":[{"value":"14 February 2019","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"Dr. Liu and Dr. Fan have no conflicts of interest or financial ties to disclose. Informed consent was obtained from all individual participants included in this review.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}]}}