Table 6.
Intention-to-treat analysis between open (OS) and laparoscopic splenectomy (LS) for isolated splenic injuries
| Characteristics | OS [18] | LS [6] | p | |
|---|---|---|---|---|
| Gender | M | 11 | 5 | 0.664 |
| F | 8 | 1 | ||
| Age (years) | Average | 55 | 45 | 0.151 |
| Median | 51 | 48 | ||
| Range | 21–86 | 24–59 | ||
| ASA | I | 10 | 1 | 0.164 |
| II | 6 | 2 | ||
| III | 2 | 3 | ||
| IV | 1 | 0 | ||
| Mechanism of trauma | Blunt | 19 | 5 | 1 |
| Penetrating | 0 | 1 | ||
| Pre-operative vital signs | HR (bpm) average | 87 | 84 | 0.357 |
| Median | 80 | 80 | ||
| Range | 60–130 | 70–100 | ||
| SPB (mmHg) average | 118 | 115 | 0.396 | |
| Median | 120 | 120 | ||
| Range | 70–150 | 95–140 | ||
| GCS 15 | 17 | 6 | 1 | |
| 14 | 2 | 0 | ||
| 13 | 0 | 0 | ||
| ATLS class I | 10 | 4 | 0.669 | |
| II-responder | 8 | 2 | ||
| III-responder | 1 | 0 | ||
| Pre-operative blood test | BE (mmol/L) average | − 0.9 | 3.5 | 0.036 |
| Median | − 1.1 | 3.2 | ||
| Range | − 7–5 | − 2.3–9.7 | ||
| Lactate (mmol/L) average | 1.5 | 1.1 | 0.245 | |
| Median | 1.4 | 0.7 | ||
| Range | 0.5–4.4 | 0.6–1.9 | ||
| HB (g/dL) average | 11.8 | 11.1 | 0.306 | |
| Median | 11.8 | 10.9 | ||
| Range | 15.4–5.3 | 8.7–14 | ||
| ISS | Average | 15 | 11 | 0.070 |
| Range | 4–26 | 1–16 | ||
| Timing | Early | 14 | 3 | 0.344 |
| Delayed | 5 | 3 | ||
| Failed NOM | 6 | 2 | 0.935 | |
| AAST grade | I | 1 | 1 | 0.838 |
| II | 2 | 1 | ||
| III | 4 | 2 | ||
| IV | 10 | 2 | ||
| V | 2 | 0 | ||
| Operative time (mins) | Average | 59 | 135 | < 0.00001 |
| Median | 54 | 135 | ||
| Range | 28–106 | 83–193 | ||
| Blood trasfusions | Intre-operative | 8 | 0 | 0.129 |
| Post operative | 4 | 2 | 0.606 | |
| Intensive care unit | Admission | 10 | 1 | 0.180 |
| Average length of stay (days) | 1.3 | 3 | 0.329 | |
| Bowel function recovery (average POD) | NGT removal | 2.5 | 0.8 | 0.002 |
| Feeding | 3.5 | 1.3 | 0.0005 | |
| Flatus | 3.5 | 3 | 0.224 | |
| Stool | 5.5 | 3.7 | 0.009 | |
| Morbidity | Overall | 11 | 3 | 1 |
| Re-operation | 1 | 0 | 1 | |
| SSI | 3 | 0 | 0.554 | |
| Mortality | 0 | 0 | 1 | |
| Overall length of stay (days) | Average | 9 | 7 | 0.130 |
| Follow-up | Incisional hernia | 3 | 3 | 0.125 |
| Bowel obstruction | 1 | 0 | 1 |