How to Preserve the Spleen: Laparoscopic Partial Splenectomy as a Treatment for Splenic Hemangioma.

Advances in understanding splenic function and the implementation of precision medicine and enhanced recovery after surgery (ERAS) have established laparoscopic partial splenectomy (LPS) as the preferred surgical approach for benign splenic diseases, hematologic diseases involving the spleen, and minor splenic trauma. This technique not only preserves splenic function but also offers advantages, including safety, reduced postoperative pain, and accelerated recovery. The widespread adoption of LPS represents an evolving trend in splenic surgery. A case of a 30-year-old female patient with a splenic hemangioma is presented. Computed tomography (CT) angiography revealed a bifurcated splenic artery. This protocol demonstrates the key steps of a laparoscopic partial splenectomy, with a detailed focus on approach selection, vascular management, parenchymal transection, and wound closure, all performed uneventfully with minimal intraoperative blood loss. Follow-up ultrasonography demonstrated a well-perfused residual spleen. This case highlights the importance of precise preoperative vascular imaging and careful hilar dissection to ensure adequate perfusion of the residual spleen. The stepwise protocol presented here may serve as a practical reference for surgeons performing spleen-preserving laparoscopic procedures.