Splenectomy and Splenic Preservation

Trauma and hematological disorders are the leading reasons for splenectomy worldwide. Preserving the spleen is increasingly recommended for its immunological functions. Partial splenectomy and splenorrhaphy, supported by topical hemostatic agents, can be attempted in cases of limited injury. In elective cases and when the spleen is mildly to moderately enlarged, laparoscopic splenectomy is the preferred procedure. Spleen-preserving distal pancreatectomy (SPDP) is recommended for benign or low-grade pancreatic tumors. The two recommended techniques for SPDP are the Kimura technique (splenic vessel-preserving) and the Warshaw technique (splenic vessel-sacrificing).