The recent awareness of the spleen's important role, especially its immune function, has fundamentally changed the management of splenic diseases, promoting the splenic preserving surgery, and protecting from the significant risk of total splenectomy: overwhelming post-splenectomy sepsis. Partial splenectomy is a safe and feasible technique that offers, according to the literature, the same results of a total approach, either in achieving hematological benefits in congenital hemolytic anemia, or treating the focal splenic lesion such as hemangioma, while preserving the immune function.
Keywords: crush-clamp; hereditary spherocytosis; laparoscopic splenectomy; overwhelming post-splenectomy infection; overwhelming postsplenectomy sepsis; partial splenectomy; spleen preservation; spleen preserving; splenic cavernous hemangioma; total splenectomy.
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