RT Book, Section A1 Hunter, John G. A1 Spight, Donn H. A1 Sandone, Corinne A1 Fairman, Jennifer E. SR Print(0) ID 1162531234 T1 Splenectomy T2 Atlas of Minimally Invasive Surgical Operations YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071449052 LK accesssurgery.mhmedical.com/content.aspx?aid=1162531234 RD 2024/10/15 AB Indications for laparoscopic splenectomy are the same as indications for open splenectomy with the following exceptions: acute traumatic hemorrhage is better managed at laparotomy, and extreme splenomegaly prohibiting dissection and removal of the spleen through a small incision is a relative contraindication. The most common indications include hematologic disorders such as idiopathic thrombocytopenic purpura (ITP), which accounts for more than 40% of reported laparoscopic splenectomies. Hereditary spherocytosis, idiopathic autoimmune hemolytic anemia, Felty syndrome, thalassemia, sarcoidosis, sickle cell disease, Gaucher’s disease, congenital and acquired hemolytic anemia, thrombotic thrombocytopenic purpura, and AIDS-associated ITP are rare diseases for which splenectomy may be indicated. Laparoscopic splenectomy is also indicated for secondary hypersplenism, splenic artery aneurysm, splenic cyst, and splenic tumor.