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Intraoperative\u00a0bleeding as the main complication is also the primary cause of conversion from laparoscopic to open splenectomy. Intraoperative blood salvage can reduce transfusion requirements, decrease the conversion rate to open, and promote fast-tracking in laparoscopic splenectomy (LS). From\u00a0November 2007 through December 2016 we collected medical data of\u00a0115 LS patients. There were three groups: 54 patients receiving routine care (we marks them as\u00a0Group RT), 33 patients with fast-track care (Group FT), and 28 receiving fast-track care receiving intraoperative splenic blood salvage and autotransfusion (Group FT\u2009+\u2009ISBS). These medical\u00a0data are comprised of\u00a0included three phases (pre-, intra-, and postoperative). There were significant differences (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05) between RT, FT, and FT\u2009+\u2009ISBS groups. The hemoglobin level in Group FT\u2009+\u2009ISBS was significantly higher than in Group RT and Group FT. Comparing the duration of hospital stay of 3 groups, Group RT stayed for a significantly longer time than Group FT and Group FT\u2009+\u2009ISBS, Group FT\u2009+\u2009ISBSmuch shorter than Group FT. Comparing the hospitalization expense, GroupFT\u2009+\u2009ISBS significantly expended\u00a0less than Group RT and Group FT. Our study shows that laparoscopic splenectomy with fast-track care is feasible, effective, and safe for patients who require splenectomy. Fast-tracking with intraoperative blood salvage improved the fast-track laparoscopic splenectomy procedure.<\/jats:p>","DOI":"10.1038\/s41598-019-45865-x","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T13:01:56Z","timestamp":1562677316000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Fast-track care with intraoperative blood salvage in laparoscopic splenectomy"],"prefix":"10.1038","volume":"9","author":[{"given":"Yan","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianwei","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qinghuang","family":"Ye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhijiang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weihong","family":"Weng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinhui","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,7,9]]},"reference":[{"key":"45865_CR1","first-page":"407","volume":"29","author":"JW Lord Jr.","year":"1951","unstructured":"Lord, J. 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