Elective Splenectomy-Clinical Profile, Indications and Outcome in a Tertiary Care Centre

Introduction: Elective splenectomy can be performed both by conventional open surgery as well as laparoscopically for various clinical conditions-benign to malignant. The elective splenectomy can be combined with various other procedures or it can be the part of other operations. Aim: The aim is to study the clinical profile, indication and their outcomes in the patients undergoing elective splenectomy. Method: This is a hospital based descriptive observational study auditing the elective splenectomies performed from 2014 to 2019 from prospectively maintained database. Results: Total of 57 patients studied, the most common indication is EHPVO. 49% and 44% cases were performed by open and laparoscopic approach respectively with 7% conversion rate. 40.36% of cases were combined with one or more additional procedures. The total morbidity rate was 24.56 % with slightly higher in open approach. Conclusion: The most common indication of elective splenectomy is EHPVO. Morbidities are in the form of well known complications. Though laparoscopic approach is favoured in elective splenectomy, the requirement of other procedures makes open approach still a preferred approach.