Laparoscopic versus open splenectomy for splenomegaly: the verdict is unclear.

Background: The benefits of laparoscopic splenectomy (LS) over open splenectomy (OS) for normal-sized spleens have been well documented. However, the role of laparoscopy for moderate and massive splenomegaly is debated.

Methods: A retrospective review of patients undergoing elective splenectomy at one institution from 1997 to 2017 was conducted.