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Title of Journal: Surg Endosc

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Abbravation: Surgical Endoscopy

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Springer US

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DOI

10.1002/nadc.19580060505

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ISSN

1432-2218

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Effects of laparoscopic versus open surgery on spl

Authors: YooSeok Yoon Kyoung Ho Lee HoSeong Han Jai Young Cho Jin Young Jang SunWhe Kim Woo Jung Lee Chang Moo Kang SangJae Park SungSik Han Young Joon Ahn Hee Chul Yu In Seok Choi
Publish Date: 2014/07/09
Volume: 29, Issue: 3, Pages: 583-588
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Abstract

This retrospective multicenter study included 116 patients who underwent laparoscopic n = 70 or open n = 46 SSVpDP at seven Korean tertiary medical institutions between 2004 and 2011 Clinical parameters and the splenic vessel patency assessed by abdominal computed tomography were compared between the two surgical proceduresThe clinical parameters were not significantly different between both groups except for postoperative hospital stay which was significantly shorter in the laparoscopic group 104 vs 135 days P = 0024 The splenic artery patency rate was similar in both groups 900 vs 978  but the splenic vein patency rate was significantly lower in the laparoscopic group 643 vs 870  P = 0022 Univariate and multivariate analyses revealed surgical procedure odds ratio OR 3085 P = 0043 and intraoperative blood loss OR 4624 P = 0002 as independent risk factors for compromised splenic vein patency partial or total occlusion The splenic vein patency rate was significantly better in the late group n = 34 than in the early period n = 35 794 vs 486  P = 0008Although laparoscopic SSVpDP had an advantage of shorter hospital stay compared with open surgery it was associated with greater risk of poor splenic vein patency However this risk could decrease with increasing surgical experience and with efforts to minimize blood lossYooSeok Yoon Kyoung Ho Lee HoSeong Han Jai Young Cho Jin Young Jang SunWhe Kim Woo Jung Lee Chang Moo Kang SangJae Park SungSik Han Young Joon Ahn Hee Chul Yu and In Seok Choi have no conflicts of interest or financial ties to disclose

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