What is laparoscopic splenectomy?
During the operation, the spleen is removed completely by laparoscopy.
The procedure is most often performed for:
- large splenic cysts
- benign tumors
- large hemangiomas
- symptomatic splenomegaly
- certain hematological diseases
- splenic injuries, in selected cases
If necessary, the operation may be combined with removal of accessory spleens.
Our approach
At MSI, diseases of the spleen are treated in line with modern principles of minimally invasive and oncological surgery.
Before surgery, a comprehensive examination is carried out, which may include:
- ultrasound
- computed tomography
- laboratory tests
- consultation with a hematologist, when indicated
In the absence of contraindications, we aim to perform splenectomy laparoscopically.
Special attention is paid to the early detection and removal of accessory spleens, which is essential in certain hematological diseases.
Before a planned operation, patients receive the necessary vaccinations in line with international guidelines.
Postoperative treatment follows the principles of *ERAS (Enhanced Recovery After Surgery)*.
When is surgery needed?
Laparoscopic splenectomy is performed for:
- large symptomatic splenic cysts
- hemangiomas
- benign tumors
- symptomatic splenomegaly
- immune thrombocytopenic purpura (ITP)
- hereditary spherocytosis
- other blood diseases, as recommended by a hematologist
Indications for surgery
Surgery is recommended for:
- clinical symptoms
- growth of the lesion
- a risk of splenic rupture
- development of hypersplenism
- ineffective medical treatment of a hematological disease
- a lesion of uncertain nature
How is the operation performed?
The procedure is performed under general anesthesia.
Laparoscopic instruments and a camera are inserted through a few small punctures. The ligaments of the spleen are mobilized step by step, and the splenic vessels are dissected and divided using modern energy devices or vascular staplers.
The spleen is placed in a special retrieval bag and removed through a small incision.
During the operation, a search for accessory spleens is always carried out.
The removed organ is sent for histopathological examination.
Advantages of laparoscopic surgery
- Minimal surgical trauma
- Less postoperative pain
- Lower risk of infectious complications
- Shorter hospital stay
- Faster return to everyday activities
- Better cosmetic result
Recovery after surgery
Postoperative treatment follows *ERAS* principles.
Patients are mobilized early and gradually return to their normal diet. After discharge, they receive recommendations on preventing infections and on further vaccination in line with international guidelines.
Our advantages
- Extensive experience in laparoscopic spleen surgery
- A commitment to laparoscopic surgery
- Collaboration with hematologists in treating blood diseases
- Search for and removal of accessory spleens during surgery
- Modern energy devices and vascular staplers
- Adherence to international guidelines
- Enhanced recovery program (ERAS)
Frequently Asked Questions
Yes. A person can live without a spleen, but after it is removed, the risk of severe bacterial infections is somewhat higher. That is why vaccination is recommended before surgery, and preventive recommendations should be followed afterwards.
Yes. For planned splenectomy, vaccination against pneumococcus, meningococcus, and Haemophilus influenzae type b is a standard part of preparation for surgery.
In most cases, yes. A very large spleen, massive bleeding, or complex anatomy may require open surgery.
These are small areas of congenital splenic tissue. In some hematological diseases, they must be found and removed during surgery.
After an uncomplicated laparoscopic splenectomy, most patients return to normal activities within *2--4 weeks*.