Laparoscopic splenectomy is performed routinely in patients with small and
moderately enlarged spleens at specialized centers, Large spleens are diffi
cult to handle laparoscopically and hand-assisted laparoscopic splenectomy
might facilitate the procedure through enhanced vascular control, easier re
traction and manipulation, manual guidance of endostaplers, and clip applie
rs. A technique of hand-assisted laparoscopic splenectomy is described.