New scoring system predicts laparoscopic splenectomy complexity

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.