Laparoscopic Splenectomy

Most times, surgery is required to remove a diseased or damaged spleen. Laparoscopic splenectomy (spleen removal) is an option for some patients. Preoperative testing and immunizations are required with nothing to eat or drink after midnight prior to the surgery.

With laparoscopic splenectomy, the surgeon makes small incisions into the abdomen and inserts a trocar (hollow tube). Then the abdomen is filled with carbon dioxide gas to allow visualization of the abdominal organs. The laparoscope—connected to a tiny video camera—is inserted to provide an up-close view of the patient’s internal organs, which are displayed on a monitor.

Through several strategically placed small incisions for various instruments, the surgeon locates the spleen, separates it from the organs where it is attached and removes it. The bag with the spleen inside is pulled up into one of the small, but largest incisions on your abdomen. The spleen is broken up into small pieces (morcelated) within the special bag and completely removed (www.sages.org).

With this minimally invasive surgery, pain often subsides within a few days and the patient can return to normal activities within a week. Compared to open surgery, laparoscopic splenectomy offers patients less post-operative pain, a shorter hospital stay, a faster return to a solid food diet, quicker return to normal activities and better cosmetic results.

Not all patients are candidates for laparoscopic splenectomy. Talk to your doctor to find out what your options are or make an appointment by calling toll-free 1.877.UT.CARES (1.877.882.2737).