Laparoscopic splenectomy significantly improves liver function in decompensated cirrhosis patients.

• 73% of patients treated with splenectomy achieved recompensation versus 33% with endoscopic therapy.
• Recompensation contributed to a 43% reduction in mortality over 3 years, dropping to 16% by 8 years.

Younger patients have better outcomes with this approach.

• Overall, 54% of patients in the study met the Baveno VII criteria for recompensation.