Published online Jul 28, 2014. doi: 10.5412/wjsp.v4.i2.33
Revised: May 13, 2014
Accepted: June 20, 2014
Published online: July 28, 2014
Core tip: Laparoscopic splenectomy (LS) has progressively become the “gold standard” for the surgical treatment of benign hematologic diseases, regardless of the presence or absence of splenomegaly. The majority of previous published data reflects a substantial recognition of the laparoscopic method, although several areas still remain controversial. This review aims to update the current procedures and emerging technologies concerning minimally invasive splenectomy. The main indications and concerns for LS, as well as pre- and intraoperative potential problems in case of massive splenomegaly are reviewed. An evaluation of the techniques and clinical results of multiport laparoscopic splenectomy, hand-assisted laparoscopic splenectomy, robotic splenectomy, and single-port splenectomy is carried out. Moreover, postoperative outcomes of LS are examined, together with the procedure-specific complications.