Table 3.
Procedure | PSE | L-splenectomy (HALS) |
Invasiveness | + | +++ |
(no transfusion) | (rarely with major bleeding) | |
(local anesthesia) | (general anesthesia) | |
Platelet increase | ++ | +++ |
Specific complication | Splenic abscess | Portal thrombosis, OPSI |
Available in case with HCC | Synchronous TACE | Synchronous RFA or hepatectomy |
PSE: Partial splenic embolization; L-Splenectomy: Laparoscopic splenectomy; HALS: Hand-assisted laparoscopic splenectomy; OPSI: Overwhelming post-splenectomy infection; HCC: Hepatocellular carcinoma; TACE: Trans-arterial chemoembolization; RFA: Radio frequency ablation.