Laparaoscopic splenectomy was first reported at the end of 1991 Within just four years series were being reported from centres where the technique had become the method of choice for splenectomy. There are now quite a number of large series from around the world which confirm the Laparaoscopic approach to splenectomy `is the treatment of choice for the majority of patients Results from around the world are similar, with operative duration between 60 and 90 minutes, hospital stay between 1 and 2 days and morbidity less than 10%. There are still areas of controversy when treating patients with splenomegaly and also questions about the best role for hand assisted surgery.`
