Laparoscopic splenectomy

Abstract

The laparoscopic technique for splenectomy has become the preferred method for splenectomy at many institutions over the last 10 years. The advantages of laparoscopic splenectomy include a shortened postoperative hospitalization, improved cosmesis, and less analgesic requirements. It is associated with longer operating times, a steep learning curve, and may be difficult in cases of splenomegaly. A careful search should be made for accessory spleens, and capsular disruption must be avoided. New techniques and smaller instruments have facilitated recent advances in the technical aspects of laparoscopic splenectomy.