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Updated: Jun 11, 2026
05:06
Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
Published on: March 27, 2026
Patient selection, practice patterns, and perioperative outcomes for robotic splenectomy: a contemporary ACS-NSQIP
Mohammad Saad Farooq1, Anish Jona2, Gracia Maria Vargas2
1Division of Endocrine and Oncologic Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 4 Maloney, Philadelphia, PA, 19104, USA. Mohammad.farooq@pennmedicine.upenn.edu.
Surgical Endoscopy
|June 9, 2026
Summary
Robotic splenectomy is safe and effective, offering shorter hospital stays despite longer operative times compared to laparoscopic surgery. This approach shows feasibility for appropriate patients.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robot-assisted surgery adoption is growing, but evidence for its use in less common procedures like splenectomy is limited.
- Understanding practice patterns and outcomes for robotic splenectomy is crucial for broader adoption.
- This study examines robotic splenectomy within a large, contemporary national patient cohort.
Purpose of the Study:
- To evaluate the practice patterns and perioperative outcomes of robotic splenectomy.
- To compare robotic splenectomy outcomes with traditional open and laparoscopic approaches.
- To assess the safety and feasibility of robotic splenectomy in a diverse patient population.
Main Methods:
- Utilized the American College of Surgeons - National Surgical Quality Improvement Program database (2022-2023).
- Analyzed adult patients undergoing open, laparoscopic, or robotic splenectomy.
- Compared perioperative outcomes between robotic and laparoscopic approaches using statistical analyses.
Main Results:
- Robotic splenectomy was performed in 19% of 852 cases, with common indications including hematologic conditions, neoplasms, and splenomegaly.
- Robotic splenectomy had longer operative times (152 min) but shorter length of stay (3.6 days) versus laparoscopic surgery (130 min, 5.2 days).
- No significant differences were observed in unplanned conversions, transfusions, or complications between robotic and laparoscopic splenectomy.
Conclusions:
- Robotic splenectomy is a safe procedure with low morbidity in a large national cohort.
- The approach is associated with shorter hospitalizations compared to laparoscopic splenectomy.
- Findings support the feasibility and safety of robotic splenectomy when patients are carefully selected.
