To compare the clinical outcome of laparoscopic splenectomy versus open splenectomy.

Clinical parameters of twelve cases treated with laparoscopic splenectomy and another twelve with open splenectomy were enrolled from July 2011 to July 2013. The clinical parameters such as operative time, blood loss, fasting time, postoperative wound pain scores, postoperative hospital stay were analyzed statistically.

Compared to the open surgery group, splenectomy group had shorter operation time [(170±9.7) min vs (89±4.4) min, t=24.087], postoperative fasting time[(40±8.4) h vs (68±5.8) h, t=8.558], and postoperative hospital stay[(7.3±0.8) d vs (13.2±0.9) d, t=-15.122]. VAS on postoperative day 1 and day 3 of splenectomy group were both significantly less than the other group [ (3.1±0.8) vs (5.5±0.5) , t=8.813; (1.2±0.4) vs (2.7±0.5) , t=8.115] (P<0.01).

Laparoscopic splenectomy is a better choice for the patients, with less trauma, less pain, and lower rate of complications.