The procedure is performed under general anesthesia and may take upto 3 hours. Depending on the size of the spleen, the surgeon will decide the technique for the surgery.
Laparoscopic Splenectomy is performed in case the spleen is not very enlarged. During the procedure, 3 to 4 small cuts are made in the abdomen, and the laparoscope is inserted through one of them and surgical tools are inserted through the rest of the cuts. To expand the belly and making room for the surgery, gas is delivered. The spleen is removed with the help of the inserted surgical tools and the incisions are sutured.
Open surgery is performed in the cases of enlarged spleen, trauma cases and ruptured spleen. A large single incision is made in the middle of the abdomen. The surgeon locates the spleen and removes it, and then closes the incision.
In some cases, during the laparoscopic procedure, the doctor may need to switch to open procedure.