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Propensity score matching (PSM) analysis was performed between the patients with and without ARLN guidance at a ratio of 1:1.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean intraoperative blood loss was significantly lower in the ARLN\u2010group than in the Non\u2010ARLN group (306.6\u00a0ml vs. 462.6\u00a0ml, <jats:italic>p<\/jats:italic>\u2009=\u20090.047). All the patients in the ARLN\u2010group achieved successful splenic artery dissection, while surgical success was achieved in 12 patients in the Non\u2010ARLN group (<jats:italic>p<\/jats:italic>\u2009=\u20090.044). Postoperative hospital stay was significantly longer in the Non\u2010ARLN group (3.8\u00a0days vs. 4.5\u00a0days, <jats:italic>p<\/jats:italic>\u2009=\u20090.040).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ARLN can provide feasible and accurate intraoperative image guidance, and it could be helpful in the performance of laparoscopic splenectomy for massive splenomegaly.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-021-06082-8","type":"journal-article","created":{"date-parts":[[2021,3,26]],"date-time":"2021-03-26T15:02:45Z","timestamp":1616770965000},"page":"2108-2115","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Application of Real\u2010Time Augmented Reality Laparoscopic Navigation in Splenectomy for Massive Splenomegaly"],"prefix":"10.1002","volume":"45","author":[{"given":"Hai\u2010Su","family":"Tao","sequence":"first","affiliation":[{"name":"Hepatic Surgery Center, Tongji Hospital,Tongji Medical College Huazhong University of Science and Technology 430030 Wuhan China"},{"name":"Department of Hepatobiliary Surgery, Zhujiang Hospital Southern Medical University 510280 Guangzhou China"},{"name":"Guangdong Provincial Clinical and Engineering Center of Digital Medicine 510282 Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin\u2010Yu","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Zhujiang Hospital Southern Medical University 510280 Guangzhou China"},{"name":"Guangdong Provincial Clinical and Engineering Center of Digital Medicine 510282 Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wang","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Zhujiang Hospital Southern Medical University 510280 Guangzhou China"},{"name":"Guangdong Provincial Clinical and Engineering Center of Digital Medicine 510282 Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Zhujiang Hospital Southern Medical University 510280 Guangzhou China"},{"name":"Guangdong Provincial Clinical and Engineering Center of Digital Medicine 510282 Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Zhujiang Hospital Southern Medical University 510280 Guangzhou China"},{"name":"Guangdong Provincial Clinical and Engineering Center of Digital Medicine 510282 Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi\u2010Hua","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Zhujiang Hospital Southern Medical University 510280 Guangzhou 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