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Abstract
Objective To study the role of laparoscopic splenectomy （LS） using the anterior approach with sequential layered dissection. Methods From December 2007 to July 2009, we performed 27 LS using the anterior approach with sequential layered dissection. The clinical data were retrospectively analyzed. Results The range of splenic length was 8-20 cm. Accessory spleen was found in 6 patients （22.2%）. The mean operative time was 125 mins. The mean intraoperative blood loss was 90 ml, and the mean postoperative stay was 5.5 days. Conclusions Laparoscopic splenectomy using the anterior approach with sequential layered dissection could be carried out smoothly and rapidly. It reduced accidental injuries and shortened the operative time. Key words: Laparoscopic splenectomy; Anterior approach; Sequential layered dissection
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