LigaSure technique for splenectomy: A systematic review and meta-analysis

Abstract

Background: This study aimed to clarify the optimal management of the LigaSure technique and conventional techniques during splenectomy. Methods: All databases, including CBM, CNKI, WFPD, Medline, EMBASE, PubMed, and Cochrane databases up to April 2023, were searched for relevant studies comparing the LigaSure technique with conventional techniques. Six studies, extracted by 2 independent reviewers, were evaluated for blood loss, operative time, conversion, mortality, hospital stay, and transfusion. Results: The blood loss was significantly higher in the convention group than in the LigaSure group (WMD = −48.98, 95% CI: −62.41 to −35.55, P < .00001). Meanwhile, the mean operative time was significantly shorter in LigaSure group than in convention group (WMD = −10.57; 95% CI: −12.35 to −8.78), P < .00001). No significant differences were found regarding the conversion rate, hospital stay, morbidity, and transfusion. Conclusions: The LigaSure technique has comparable effects to conventional techniques, but to some extent reduces blood loss and operative time.