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General Surgery

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Splenectomy

Definition/Overview

The spleen is an organ located in the upper left part of the abdomen near the stomach, and is the largest lymphatic organ in the body. The spleen filters and serves as a reservoir for blood and destroys aged blood cells.

Procedure

Splenectomies can be performed using an open method, or laparoscopically. Splenectomies can also be complete or partial.

A complete splenectomy is the removal of an enlarged or ruptured spleen. This procedure is performed under general anesthesia. If the spleen is enlarged or ruptured, the surgeon makes a cut in the abdomen and ties the splenic artery off to prevent blood loss and reduce the spleen’s size. He then detaches the ligaments holding the spleen and removes, and sends tissue samples for analysis.

In a partial splenectomy, the surgeon removes only a portion of the spleen. In some cases, this can reduce the pain of an enlarged spleen and reduce the incidence of infection.

Laparoscopic splenectomy is the removal of the spleen using several small incisions. The surgeon inserts a thin, lighted scope with a camera on the end into one of the incisions, and the surgical instruments in another. Laparoscopic splenectomy reduces pain, scarring and length of hospital stay. Your physician can evaluate your particular case and determine if you are a candidate for laparoscopic surgery.

Hospitalization time for a splenectomy is about a week if the procedure is done through an abdominal incision. If it is done laparoscopically, hospital time may be reduced.

Disclaimer: The information contained in this site is for informational purposes only. It does not take the place of, nor is it intended to be, a substitute for individual medical advice, diagnosis or treatment from your physician. All procedures carry the risk of complications — your healthcare provider can provide details regarding your individual situation.