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Updated: Jun 13, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Concomitant laparoscopic splenectomy and cholecystectomy.

Akira Sasaki¹, Hiroyuki Nitta, Koki Otuska

¹Department of Surgery, Iwate Medical University School of Medicine, Japan. sakira@iwate-med.ac.jp

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

|April 16, 2010

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Laparoscopic splenectomy and cholecystectomy can be safely performed together for patients with spleen and gallbladder issues. This combined approach is feasible and effective, with good outcomes and minimal complications.

Area of Science:

Surgical Innovation
Minimally Invasive Surgery
Gastrointestinal Surgery

Background:

Coexisting spleen and gallbladder diseases present unique surgical challenges.
Laparoscopic approaches are increasingly preferred for abdominal procedures due to reduced morbidity.

Purpose of the Study:

To evaluate the feasibility and outcomes of combined laparoscopic splenectomy and cholecystectomy.
To assess the safety and efficacy of this concomitant procedure for patients with concurrent spleen and gallbladder conditions.

Main Methods:

A retrospective review of 9 patients who underwent simultaneous laparoscopic splenectomy and cholecystectomy between March 1997 and August 2009.
Indications for splenectomy included hereditary spherocytosis, splenic artery aneurysm, hypersplenism, and Evans syndrome.

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Last Updated: Jun 13, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

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Main Results:

The median operative time was 165 minutes, with a median blood loss of 36 mL.
No conversions to open surgery were required; however, portal system thrombosis occurred in 2 patients.
The median hospital stay was 9 days.

Conclusions:

Concomitant laparoscopic splenectomy and cholecystectomy is a safe and feasible surgical option.
This procedure can be considered for patients with coexisting spleen and gallbladder diseases, especially with growing institutional experience.