Table 2.
Intraoperative and postoperative characteristics of the modified laparoscopic splenectomy and azygoportal disconnection and open splenectomy and azygoportal disconnection groups
| Variable | MLSD (n = 44) | OSD (n = 71) | P value |
| Operation time, median (range), min | 210 (140-390) | 180 (110-300) | < 0.0001 |
| Estimated blood loss, median (range), mL | 150 (50-800) | 300 (50-1200) | < 0.0001 |
| Blood transfused, median (range), mL | 0 (0-400) | 0 (0-700) | 0.024 |
| VAS pain score on the first day, mean ± SD | 2.50 ± 0.85 | 5.06 ± 1.08 | < 0.0001 |
| Time to first oral intake, mean ± SD, d | 1.52 ± 0.63 | 2.76 ± 0.62 | < 0.0001 |
| Time to first flatus, mean ± SD, d | 2.36 ± 0.97 | 3.18 ± 1.00 | 0.0004 |
| Time to off-bed activity, mean ± SD, d | 2.59 ± 0.69 | 5.96 ± 0.93 | < 0.0001 |
| Postoperative hospital stay, median (range), d | 10 (7-18) | 15 (7-28) | < 0.0001 |
| Perioperative complications, n | 7 | 26 | 0.017 |
| Incision complications | 0 | 9 | 0.035 |
| Incision hernia | 0 | 1 | |
| Superficial SSI | 0 | 5 | |
| Deep SSI | 0 | 3 | |
| Pneumonia | 0 | 3 | 0.436 |
| Organ space SSI | 0 | 2 | 0.697 |
| Emergency operation for bleeding | 0 | 3 | 0.436 |
| Pancreatic fistula | 2 | 1 | 0.672 |
| Asymptomatic portal vein thrombosis | 5 | 8 | 1.000 |
MLSD: Modified laparoscopic splenectomy and azygoportal disconnection; OSD: Open splenectomy and azygoportal disconnection; VAS: Visual analog scale; SSI: Surgical site infection.