ABSTRACT
Laparoscopic splenectomy has emerged as one of the most frequently performed laparoscopic solid organ procedures in children. The first laparoscopic splenectomy in an adult was reported in 1992 and in a child in 1993. Subsequently, many authors published their experience with pediatric laparoscopic splenectomy and a number of modifications of the original laparoscopic techniques have been described. These modifications include lateral positioning of the patient, the use of endovascular stapling devices, and the addition of novel energy devices such as the ultrasonic scalpel and the Ligasure®. Studies in children comparing laparoscopic splenectomy and open splenectomy have shown that the laparoscopic approach is safe and has several advantages, including reduced postoperative pain, a shorter stay in hospital, early return of normal activity, and improved cosmesis. Many reports have shown that operating time is longer with laparoscopic splenectomy compared to open techniques, but this may be due to the learning curve that applies to all laparoscopic procedures.
