Abstract
Laparoscopic splenectomy is most commonly performed for those with hereditary red cell membrane disorders such as spherocytosis causing hemolysis. The hemoglobinopathies such as sickle cell and thalassemia causing sequestration or hypersplenism are increasingly common indications. Chronic immune thrombocytopenia (ITP) is a good indication but less effective. Tumors, abscesses, or cysts are rare indications. Nonparasitic splenic cysts should be completely excised by partial splenectomy. Torsion of a wandering spleen is similarly rare.
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Suggested Reading
Cusick R, Waldhausen JHT. The learning curve associated with pediatric laparoscopic splenectomy. Am J Surg. 2001;181:393–7.
Lansdale N, Marven S, Welch J, Vora A, Sprigg A. Intra-abdominal splenosis following laparoscopic splenectomy causing recurrence in a child with chronic immune thrombocytopenic purpura. J Laparoendosc Adv Surg Tech A. 2007;17:387–90.
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Elmalik, K., Marven, S. (2017). Laparoscopic Splenectomy. In: McHoney, M., Kiely, E., Mushtaq, I. (eds) Color Atlas of Pediatric Anatomy, Laparoscopy, and Thoracoscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53085-6_25
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DOI: https://doi.org/10.1007/978-3-662-53085-6_25
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