What is partial splenectomy?
During the operation, only the area of the spleen containing the lesion is removed, while the rest of the organ continues to function.
Partial splenectomy may be performed for:
- large splenic cysts
- benign tumors
- hemangiomas
- certain traumatic injuries
- localized lesions of the spleen
The organ-preserving approach reduces the risk of infections associated with complete removal of the spleen.
Our approach
At MSI, we aim to preserve as much functioning splenic tissue as possible when this is safe and does not reduce the effectiveness of treatment.
Before surgery, a comprehensive examination is carried out, which may include:
- ultrasound
- contrast-enhanced computed tomography
- laboratory tests
When technically feasible, we aim to perform partial splenectomy laparoscopically.
The final extent of the operation is determined during surgery, depending on the location of the lesion, the blood supply of the spleen, and whether a viable part of the organ can be preserved.
Postoperative treatment follows the principles of *ERAS (Enhanced Recovery After Surgery)*.
When is surgery needed?
Partial splenectomy is performed for:
- benign lesions
- symptomatic cysts
- hemangiomas
- localized splenic injuries
- lesions that allow part of the organ to be preserved
Indications for surgery
Surgery is recommended for:
- a localized lesion of the spleen
- a benign lesion
- a sufficient volume of healthy tissue
- the technical possibility of performing an organ-preserving procedure safely
How is the operation performed?
The procedure is performed under general anesthesia.
After the spleen is mobilized, the segmental vessels supplying the affected area are selectively dissected. Once the area is demarcated, the diseased part of the spleen is resected with careful hemostasis, preserving the viable tissue of the organ.
Modern energy devices, hemostatic materials, and vascular staplers are used as needed.
The removed tissue is sent for histopathological examination.
Advantages of organ-preserving surgery
- Preservation of part of the functioning spleen
- Maintenance of the organ's immune function
- Lower risk of severe post-splenectomy infections
- Can be performed laparoscopically
- Faster recovery after surgery
Recovery after surgery
Postoperative treatment follows *ERAS* principles.
Patients are mobilized quickly and gradually return to their normal diet. The length of the hospital stay depends on the complexity and extent of the operation.
Our advantages
- Extensive experience in organ-preserving spleen surgery
- A commitment to preserving as much functioning tissue as possible
- Laparoscopic surgery when technically feasible
- Modern methods of bleeding control
- Routine histopathological examination of removed lesions
- Enhanced recovery program (ERAS)
Frequently Asked Questions
No. It depends on the location and size of the lesion, the blood supply of the spleen, and the safety of the operation. If an organ-preserving procedure is impossible, a splenectomy is performed.
Yes. The preserved part of the spleen continues to perform its immune and filtering functions.
In most cases, no, if a sufficient volume of functioning splenic tissue has been preserved. Final recommendations are made individually.
Yes. When the lesion is favorably located, we aim to perform partial splenectomy laparoscopically.
Yes. If uncontrolled bleeding occurs during surgery or a viable part of the spleen cannot be preserved, a decision may be made to remove the organ completely.