ABSTRACT
Indications Indications for splenectomy are similar for both laparoscopic and open approaches
and include blood dyscrasias refractory to medical management (i.e., autoimmune anemias, hereditary spherocytosis, immune thrombocytopenic purpura, and throm botic thrombocytopenic purpura), and primary splenic diseases such as cysts or ab scess. Traumatic splenic injuries that need surgery are usually done in an open manner.