A validated preoperative scoring tool enhances surgical decision-making for laparoscopic splenectomy.
- Age, INR, splenic thickness, and cirrhosis are key predictors of operative difficulty.
- The 0-23 scoring system stratifies patients into low (0-7), intermediate (8-15), and high-risk (16-23) groups, offering strong accuracy (AUC 0.78 – 0.82).
High-risk patients experience increased blood loss, longer surgery times, and higher conversion rates to open surgery.
This tool can improve patient selection and optimize resource allocation in surgical planning.
Journal Article by Chen LJ, Chen SH (…) Wang XM et 3 al. in Surg Endosc
© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.