J Minim Invasive Surg 2015; 18(3): 75-78  https://doi.org/10.7602/jmis.2015.18.3.75
Does Laparoscopic Splenectomy have the Advantage on Postoperative Pain?
Jae Ryong Shim, M.D., Sung Pil Yun, M.D., Hyung-Il Seo, M.D., Ph.D.
Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
Received: June 9, 2015; Revised: August 17, 2015; Accepted: August 18, 2015; Published online: September 15, 2015.
© The Korean Society of Endoscopic and Laparoscopic Surgeons.

cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: The aim of this study is to elucidate the fundamental characteristics of the laparoscopic splenectomy and to compare the clinical outcomes and postoperative pain between the laparoscopic splenectomy and the conventional open splenectomy. Methods: From January 2005 to January 2013, 28 patients underwent a splenectomy at Pusan National University Hospital, South Korea (PNUH). This study was a comparison of the demographic features and clinical results between the laparoscopic splenectomy (n=15) and open splenectomy (n=13). Results: For the two groups of patients, the following were similar: estimated blood loss, transfusion, operative time, duration of patient-controlled analgesia, and the additional administration of painkillers. In the laparoscopic splenectomy group, the postoperative hospital stay (7.9±1.6 days versus 5.9±1.4 days, p=0.002) and the diet start time (2.7±0.3 days versus 1.8±0.8 days, p=0.003) were significantly shorter. No significant difference in postoperative pain was observed between the two groups. Conclusion: In this study, there was no benefit for postoperative pain in the LS group. However, the laparoscopic splenectomy has several benefits, including a shorter postoperative hospital stay and an earlier diet start time; in addition, it is feasible and safe.
Keywords: Laparoscopic splenectomy, Open splenectomy, Clinical outcomes
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