HPB

Splenectomy (Laparoscopic)

SPLENECTOMY (LAPAROSCOPIC)

Indication: Elective splenectomy for haematological conditions (ITP, hereditary spherocytosis) or symptomatic splenomegaly (moderate-sized spleen). Preferred elective approach for normal or moderately enlarged spleens.

Patient Position: Right lateral decubitus (semi-lateral) with the patient's left side up and table flexed.

Anaesthesia: General.

Ports: Three to four left-sided laparoscopic ports.

Procedure:
1. Pneumoperitoneum established. Peritoneal cavity inspected.
2. Gravity assists medial displacement of the spleen.
3. Splenocolic and splenorenal ligaments divided with energy device.