Laparoscopic Splenectomy

Laparoscopic Splenectomy procedure is the removal of spleen that has been ruptured or enlarged by any abdominal injury. Laparoscopic splenectomy is a widely used minimally invasive treatment technique to remove damaged spleen from the body.

Spleen is an organ that functions to remove unwanted materials such as old and damaged blood cells from the blood stream and plays an important role in the body’s defense system. They contain particular white bloods cells that have the ability to destroy the bacteria that invade the body and prevents from bacterial attack. It also acts as a filter to the blood stream to keep it clean.  

Laparoscpoic splenectomy is recommended when following conditions persist in the organ:

  • Ruptured spleen: multiple abdominal injuries leading to ruptured spleen. Ruptured spleen leads to internal bleeding.
  • Enlarged spleen: An enlarged spleen condition (splenomegaly), can cause severe pain and discomfort.
  • Blood disorder: Several blood disorders are successfully treated by laparoscpoic spelenectomy.
  • Cancer: Laparoscopic Splenectomy is used to treat various cancers including chronic lymphocytic leukemia, Hodgkin’s lymphoma, non-Hodgkin’s lymphoma and hairy cell leukemia.
  • Infection: An infected spleen develops pus and has to be removed by laparoscopic spelenectomy.
  • Cyst or tumor:  Formation of cysts and tumors inside the spleen are removed by laparoscopic splenectomy.  

Diagnosis and treatment

Before undergoing a laparoscopic splenectomy patients are required to undergo various treatments and precautions such as:

  • Blood transfusion: to ensure sufficient blood cells are present in the body.
  • Vaccinations:  to prevent development of any infection after spleen removal
  • Temporarily discontinue other meditations if any.
  • Controlled diet

Laparoscopic splenectomy procedure

During laparoscopic splenectomy, the surgeon initiates the procedure by administering a dose of general anesthetic and monitors the blood pressure and oxygen levels during the surgery. The surgeon makes a small incision in the abdomen and inserts a laparoscope (a small tube connected with a camera) through the incision. The laparoscope enables the surgeon to view an enlarged image of the abdomen and internal organs captured by the camera attached to the end of the laparoscope and is connected to the monitor. Later more incisions are made and other surgical tools are inserted to remove the affected spleen and incisions are closed with surgical tapes. After laparoscopic splenectomy, the patients can leave the hospital in a day or two. As spleen plays a major role in defense system to fight infections and bacterial attacks, doctors recommend taking several immunizations to help improve the functioning of immune system of the body in the absence of spleen.