Table 2.

Advantages and disadvantages of non-operative management (NOM) and laparoscopic splenectomy (LS)

	Advantages	Disadvantages
NOM	Preserve spleen function Avoid surgery	Strict conduct for many weeks Long LOS High radiation exposure Long time to return to work and daily life High morbidity and potential mortality associated with failures High cost (angio-suite, angiography devices and coils, follow-up) Risk of delayed rupture
LS	Short LOS and fast recovery without strict conduct in case of isolated splenic injury Fast return to work and daily life Minimal invasiveness Small scars	Loss of splenic function (immunologic and hematologic), vaccine required, increase of platelets count Surgical intervention