{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T15:11:46Z","timestamp":1788707506944,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,4,9]],"date-time":"2014-04-09T00:00:00Z","timestamp":1397001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"the National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["60171009"],"award-info":[{"award-number":["60171009"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Hand\u2010assisted laparoscopic splenectomy (<jats:styled-content style=\"fixed-case\">HALS<\/jats:styled-content>) has been widely applied for the resection of larger spleens. We conducted a systematic review and meta\u2010analysis to evaluate the safety and feasibility of <jats:styled-content style=\"fixed-case\">HALS<\/jats:styled-content> compared with conventional laparoscopic splenectomy (<jats:styled-content style=\"fixed-case\">CLS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A comprehensive literature search in <jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">EMBASE<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ochrane <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ibrary databases was performed to compare clinical outcomes of <jats:styled-content style=\"fixed-case\">CLS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">HALS<\/jats:styled-content>. Data were extracted by two independent reviewers. Pooled odds ratios and weighted mean differences with 95% confidence intervals were calculated by meta\u2010analytic software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nine non\u2010randomized controlled studies for a total of 463 patients were selected to satisfy the inclusion criteria (<jats:styled-content style=\"fixed-case\">HALS<\/jats:styled-content> versus <jats:styled-content style=\"fixed-case\">CLS<\/jats:styled-content>: 170 versus 293, respectively). The groups were similar in operative time, estimated operative blood loss, length of hospital stay, mortality and intraoperative and post\u2010operative complications. There was a significantly reduced conversion rate in the <jats:styled-content style=\"fixed-case\">HALS<\/jats:styled-content> versus <jats:styled-content style=\"fixed-case\">CLS<\/jats:styled-content> group (odds ratio: 2.98; 95% confidence interval 1.28 to 6.93; <jats:italic>P<\/jats:italic> = 0.01). Splenic weights in the <jats:styled-content style=\"fixed-case\">HALS<\/jats:styled-content> group were higher than in the <jats:styled-content style=\"fixed-case\">CLS<\/jats:styled-content> group (weighted mean differences: \u22120.93; 95% confidence interval \u22121.74 to \u22120.11; <jats:italic>P<\/jats:italic> = 0.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">HALS<\/jats:styled-content> may be preferable to <jats:styled-content style=\"fixed-case\">CLS<\/jats:styled-content> for the treatment of patients with enlarged spleens. The result needs to be certified by further random controlled trials.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12597","type":"journal-article","created":{"date-parts":[[2014,4,9]],"date-time":"2014-04-09T07:21:56Z","timestamp":1397028116000},"page":"915-920","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Hand\u2010assisted versus conventional laparoscopic splenectomy: a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"84","author":[{"given":"Daohai","family":"Qian","sequence":"first","affiliation":[{"name":"Department of General Surgery Shanghai Tenth People's Hospital Tongji University of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhigang","family":"He","sequence":"additional","affiliation":[{"name":"Department of General Surgery Shanghai Tenth People's Hospital Tongji University of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Hua","sequence":"additional","affiliation":[{"name":"Department of General Surgery Shanghai Tenth People's Hospital Tongji University of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of General Surgery Shanghai Tenth People's Hospital Tongji University of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengping","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of General Surgery Shanghai Tenth People's Hospital Tongji University of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenshun","family":"Song","sequence":"additional","affiliation":[{"name":"Department of General Surgery Shanghai Tenth People's Hospital Tongji University of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,9]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"75","article-title":"Development and status of laparoscopic surgery. Perspectives in surgery: monthly","volume":"92","author":"Zonca P","year":"2013","journal-title":"Czechoslovak Surg. Soc."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12001"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2004.01.016"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(01)00874-1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.141.8.755"},{"key":"e_1_2_7_7_1","first-page":"2263","article-title":"Splenectomy by the laparoscopic approach. Report of a case","volume":"20","author":"Delaitre B","year":"1991","journal-title":"Presse Med."},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.07.026"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(03)00312-X"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9735-5"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-2114-6"},{"key":"e_1_2_7_12_1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1097\/00029330-200701010-00008","article-title":"Hand\u2010assisted laparoscopic splenectomy for splenomegaly: a comparative study with conventional laparoscopic splenectomy","volume":"120","author":"Wang KX","year":"2007","journal-title":"Chin. Med. J."},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.12.1348"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.028910"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2012.0237"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-001-8104-z"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2002.127686"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.149"},{"key":"e_1_2_7_19_1","first-page":"584","article-title":"Complications of laparoscopic surgery: a 11\u2010year single institute experience","volume":"45","author":"Zhang YS","year":"2013","journal-title":"Beijing J. Peking Univ. Health Sci."},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1089\/10926420252939592"},{"key":"e_1_2_7_21_1","first-page":"746","article-title":"The current state of laparoscopic surgery for abdominal parenchymatous organs","volume":"103","author":"Kaneko H","year":"2002","journal-title":"Japan J. Surg."},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2008.07.005"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-9030-z"},{"key":"e_1_2_7_24_1","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1177\/000313480306901208","article-title":"Hand\u2010assisted surgery improves outcomes for laparoscopic nephrectomy","volume":"69","author":"Kercher KW","year":"2003","journal-title":"Am. Surg."},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1089\/089277904323056906"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00019509-199806000-00003"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2004.09.048"},{"key":"e_1_2_7_28_1","first-page":"796","article-title":"Application and indication choice of hand\u2010assisted laparoscopic operation in gastrointestinal surgery","volume":"15","author":"Wang ZQ","year":"2012","journal-title":"Chin. J. Gastrointest. Surg."},{"key":"e_1_2_7_29_1","first-page":"424","article-title":"Hand\u2010assisted laparoscopic surgery for liver tumors","volume":"12","author":"Salit Y","year":"2010","journal-title":"Isr. Med. Assoc. J."},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-001-9045-2"},{"key":"e_1_2_7_31_1","first-page":"463","article-title":"Hand\u2010assisted laparoscopic splenectomy","volume":"5","author":"Kusminsky RE","year":"1995","journal-title":"Surg. Laparosc. Endosc."},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0528-x"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.044109"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1067\/msy.1998.91223"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2011.05.014"},{"key":"e_1_2_7_36_1","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1177\/000313480106700112","article-title":"The ascendance of laparoscopic splenectomy","volume":"67","author":"Walsh RM","year":"2001","journal-title":"Am. Surg."},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.014312"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-9175-9"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000080826.97026.d8"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199807000-00006"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-009-0149-8"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.12597","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.12597","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T14:05:03Z","timestamp":1696514703000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.12597"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,9]]},"references-count":40,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1111\/ans.12597"],"URL":"https:\/\/doi.org\/10.1111\/ans.12597","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4,9]]},"assertion":[{"value":"2014-03-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-04-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}