ABSTRACT
References 146
The laparoscopic technique for splenectomy has ascended to a prominent, and at some
institutions, preferred technique since the initial report of Delaitre and Maignien (1).
Frequently cited advantages of laparoscopic splenectomy (LS) include decreased pain,
less occurrence of intestinal ileus, shortened hospital stay, and improved cosmesis. The
disadvantages identified include longer operative times, a steep learning curve, and
difficult splenic removal in cases of splenomegaly. Some authors have also questioned
the efficacy of accessory spleen detection with the laparoscopic technique and the potential
for splenosis if capsular disruption occurs (2,3).
