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Laparoscopic Splenectomy
Overview
Splenectomy is a surgical procedure to remove your spleen. The spleen is an organ that sits under your rib cage on the upper left side of your abdomen. It helps fight infection and filters unneeded material, such as old or damaged blood cells, from your blood.
The most common reason for splenectomy is to treat a ruptured spleen, which is often caused by an abdominal injury. Splenectomy may be used to treat other conditions, including an enlarged spleen that is causing discomfort (splenomegaly), some blood disorders, certain cancers, infection, and noncancerous cysts or tumors.
Splenectomy is most commonly performed using a tiny video camera and special surgical tools (laparoscopic splenectomy). With this type of surgery, you may be able to leave the hospital the same day and recover fully in two weeks.
Why it's done
Splenectomy is used to treat a wide variety of diseases and conditions. Your doctor may recommend splenectomy if you have one of the following:
- Ruptured spleen
If your spleen ruptures due to a severe abdominal injury or because of an enlarged spleen (splenomegaly), the result may be life-threatening, internal bleeding.
- Enlarged spleen
Splenectomy may be done to ease the symptoms of an enlarged spleen, which include pain and a feeling of fullness.
- Blood disorder
Blood disorders that may be treated with splenectomy include idiopathic thrombocytopenic purpura, polycythemia vera and thalassemia.
- Cancer
Cancers that may be treated with splenectomy include chronic lymphocytic leukemia, Hodgkin's lymphoma, non-Hodgkin's lymphoma and hairy cell leukemia.
- Infection
A severe infection or the development of a large collection of pus surrounded by inflammation (abscess) in your spleen may require spleen removal if it doesn't respond to other treatment.
- Cyst or tumor
Noncancerous cysts or tumors inside the spleen may require splenectomy if they become large or are difficult to remove completely.
Risks
Splenectomy is generally a safe procedure. But as with any surgery, splenectomy carries the potential risk of complications, including:
- Bleeding
- Blood clots
- Infection
- Injury to nearby organs, including your stomach, pancreas and colon
Results
If you had splenectomy due to a ruptured spleen, further treatment usually isn't necessary. If it was done to treat another disorder, additional treatment may be required.
After splenectomy, notify your doctor at the first sign of an infection, such as:
- A fever of 100.4 F (38 C) or higher
- Redness or tender spots anywhere on the body
- A sore throat
- Chills that cause you to shake or shiver
- A cold that lasts longer than usual
Specialities
Hepato Pancreato Biliary (HPB) Surgery
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