Laparoscopic Splenectomy

What is Splenectomy ?

A splenectomy is a surgical procedure that partially or completely removes the spleen


What are indications for Splenectomy ?

  • When it becomes very large such that it becomes destructive to platelets/red blood cells
  • Lymphomas
  • Certain cases of Splenic abscess
  • Certain cases of wandering spleen
  • Splenic vein thrombosis with bleeding gastric varices
  • Idiopathic thrombocytopenic purpura
  • Trauma
  • Following spontaneous rupture
  • For long-term treatment of congenital erythropoietic porphyria (CEP) if severe hemolytic anemia develops

What are the various ways of Splenectomy?

  • Laparoscopy is the preferred procedure in cases where the spleen is not too large and when the procedure is elective.
  • Open surgery is performed in trauma cases or if the spleen is enlarged.
  • Vaccination for pneumococcus, H. influenza and meningococcus should be given pre-operatively if possible to minimize the chance of overwhelming post-splenectomy infection (OPSI), a rapid-developing and potentially fatal type of septicaemia

What are the side effects of Splenectomy?

  • Increased risk of sepsis due to encapsulated organisms (such as S. pneumoniae and Haemophilus influenzae
  • An increase in blood leukocytes can occur following a splenectomy.
  • The post-splenectomy platelet count may rise to abnormally high levels (thrombocytosis), leading to an increased risk of potentially fatal clot formation
  • Splenectomy may also lead to chronic neutrophilia
  • A splenectomy also results in a greatly diminished frequency of memory B cells and increased risk of infection.

For More about Laparoscopic Splenectomy, you can reach directly to Dr. Mradul Garg at +91-9560413585