{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T19:06:54Z","timestamp":1791054414110,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2011,12,30]],"date-time":"2011-12-30T00:00:00Z","timestamp":1325203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Laparoscopic splenectomy using pneumoperitoneum has been performed since 1992. The gasless abdominal wall\u2010lifting method for laparoscopic splenectomy was introduced as an alternative. This retrospective study was undertaken to compare results using the two techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 1995 and 2010, 54 patients underwent laparoscopic splenectomy at a single institution; 30 underwent the procedure using the gasless technique and 24 using pneumoperitoneum. There were no significant differences between the two groups regarding age, sex or BMI, but more patients underwent concurrent operations in the pneumoperitoneum group. The abdominal wall\u2010lift system with subcutaneous <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>\u2010wires was used for the gasless method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Intraoperative blood loss was similar in the two groups (193.0\u2009\u00b1\u2009196.7\u2009mL gasless, 217.3\u2009\u00b1\u2009296.6\u2009mL pneumoperitoneum; <jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05), but operative time (182.1\u2009\u00b1\u200992.1\u2009min, 135.1\u2009\u00b1\u200946.1\u2009min; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05), and resected spleen weight (306.1\u2009\u00b1\u2009297.7\u2009g, 138\u2009\u00b1\u200981.0\u2009g; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05) were significantly different. In the gasless group, additional procedures included conversion (<jats:italic>n<\/jats:italic>\u2009=\u20091), mini\u2010laparotomy (<jats:italic>n<\/jats:italic>\u2009=\u20092), and <jats:styled-content style=\"fixed-case\">CO<jats:sub>2<\/jats:sub><\/jats:styled-content> insufflation (<jats:italic>n<\/jats:italic>\u2009=\u20092). Excluding the concurrent living\u2010related kidney donor patients, hospital stay was similar (6.9\u2009\u00b1\u20092.5 days, 6.3\u2009\u00b1\u20092.0 days, <jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although gasless laparoscopic splenectomy is feasible, there are disadvantages, particularly the restricted operative working space in some patients. These results suggest that either technique may be used on an individual basis in patients undergoing laparoscopic splenectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1758-5910.2011.00124.x","type":"journal-article","created":{"date-parts":[[2011,12,30]],"date-time":"2011-12-30T15:38:40Z","timestamp":1325259520000},"page":"63-68","source":"Crossref","is-referenced-by-count":9,"title":["Laparoscopic splenectomy using pneumoperitoneum or gasless abdominal wall lifting: A 15\u2010year single institution experience"],"prefix":"10.1111","volume":"5","author":[{"given":"M","family":"Hyodo","sequence":"first","affiliation":[{"name":"Department of Surgery School of Medicine Jichi Medical University  Shimotsuke Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Sata","sequence":"additional","affiliation":[{"name":"Department of Surgery School of Medicine Jichi Medical University  Shimotsuke 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Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Ohki","sequence":"additional","affiliation":[{"name":"Department of Surgery Yuuki Hospital  Yuuki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Nagai","sequence":"additional","affiliation":[{"name":"Department of Surgery Ibaraki Prefectural Central Hospital  Tomobe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Department of Surgery School of Medicine Jichi Medical University  Shimotsuke Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,12,30]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"613","article-title":"Laparoscopic splenectomy in the management of immune thrombocytopenia purpura","volume":"114","author":"Lefor 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