Splenectomy

The spleen is an organ located in the upper left portion of the abdomen, behind the stomach. Its functions are to filter blood, remove bacteria, make blood, and store blood.

If your physician diagnoses any of the following diseases, it may be necessary to remove your spleen (splenectomy): acute and chronic leukemia, cysts, primary splenic thrombocytopenia, idiopathic thrombocytopenic purpura (ITP), primary splenic neutropenia, Felty’s syndrome, Banti’s disease, congestive splenomegaly, splenic tumors, splenic artery aneurysms, lymphomas, thrombolytic thrombocytopenic purpura (TTP), HIV splenomegaly, splenomegaly, splenocytosis, or a variety of anemias. Physicians at the Laparoscopic Surgical Center of New York can determine if laparoscopic surgery is appropriate for you.

How is a Laparoscopic Splenectomy Performed?

Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, attached to a video camera, which is inserted through a small incision in the abdomen. The laparoscope is connected to a tiny video camera which projects a view of the operative site onto video monitors located in the operating room. The abdomen is inflated with carbon dioxide, a gas, to allow your surgeon a better view of the operative area. Two or three additional small incisions are made near the laparoscope through which the surgeon inserts very small specialized instruments. The surgeon uses these instruments to remove the spleen. Following the procedure, the small incisions are closed with sutures and covered with Band-Aids. After a few months, they are barely visible.

What Are the Benefits of Laparoscopic Splenectomy?

• Three or four tiny scars instead of one large abdominal scar.
• Lower risk of hernia.
• Shorter hospital stay--you may leave one to two days after surgery.
• Reduced pain after surgery.
• Shorter recovery time and quicker return to daily activities, including work.

What Can I Expect after Surgery?

It is important to follow your doctor’s instructions after surgery. Although many people feel better in just a few days, you may need to take it easy for two to four weeks.

How Safe Is Laparoscopic Splenectomy?

If performed by experts in this field, laparoscopic splenectomy is as safe as "open" surgery in carefully selected cases.