Formerly,open splenectomy represented the conventional surgical treatment for many hematologic diseases.Currently,thanks to permanent technical development and improved skills,also laparoscopic splenectomy(LS) has bec...Formerly,open splenectomy represented the conventional surgical treatment for many hematologic diseases.Currently,thanks to permanent technical development and improved skills,also laparoscopic splenectomy(LS) has become a recognized procedure in the treatment of spleen diseases,even in case of splenomegaly.A systematic review was performed with the aim of recalling the proved concepts of this surgical treatment and to browse new devices and techniques and their impact on the surgical outcome.The literature search was initially conducted in Pub Med by entering general queries related to LS.The record identified through Pub Med searching(n = 1599) wasthen screened by applying several criteria(study published in English from 1991 to 2013 with abstract available,by excluding systematic/non-systematic reviews,meta-analysis,practice guidelines,case reports,and study involving animals).The articles assessed for eligibility(n = 160) were primarily evaluated by excluding studies that did not report operative time and conversion to open surgery.For articles that treated multiport LS we included only clinical trials with patients > 20.The studies included in qualitative synthesis were 23.The search strategy carried out in Pub Med does not allow to obtain an overview of the items returned by the main queries.With this aim we replicated the search in the Web of Science TM database,only including the studies published in English in the period 1991-2013 with no other filter/selection criteria.The full records(n = 1141) and cited references returned by Web of Science TM were analyzed with the visualization of similarities(VOS) mapping technique.Maps of title/abstract text corpus and bibliographic coupling of authors obtained by applying the VOS approach were presented.If in normal-size or moderately enlarged spleens the laparoscopic approach is unquestionable,in massive splenomegaly the optimal technique remain to be determined.In this setting,prospective randomized trials to compare open vs LS are needed.Between the new techni展开更多
文摘Formerly,open splenectomy represented the conventional surgical treatment for many hematologic diseases.Currently,thanks to permanent technical development and improved skills,also laparoscopic splenectomy(LS) has become a recognized procedure in the treatment of spleen diseases,even in case of splenomegaly.A systematic review was performed with the aim of recalling the proved concepts of this surgical treatment and to browse new devices and techniques and their impact on the surgical outcome.The literature search was initially conducted in Pub Med by entering general queries related to LS.The record identified through Pub Med searching(n = 1599) wasthen screened by applying several criteria(study published in English from 1991 to 2013 with abstract available,by excluding systematic/non-systematic reviews,meta-analysis,practice guidelines,case reports,and study involving animals).The articles assessed for eligibility(n = 160) were primarily evaluated by excluding studies that did not report operative time and conversion to open surgery.For articles that treated multiport LS we included only clinical trials with patients > 20.The studies included in qualitative synthesis were 23.The search strategy carried out in Pub Med does not allow to obtain an overview of the items returned by the main queries.With this aim we replicated the search in the Web of Science TM database,only including the studies published in English in the period 1991-2013 with no other filter/selection criteria.The full records(n = 1141) and cited references returned by Web of Science TM were analyzed with the visualization of similarities(VOS) mapping technique.Maps of title/abstract text corpus and bibliographic coupling of authors obtained by applying the VOS approach were presented.If in normal-size or moderately enlarged spleens the laparoscopic approach is unquestionable,in massive splenomegaly the optimal technique remain to be determined.In this setting,prospective randomized trials to compare open vs LS are needed.Between the new techni
