Laparoscopic splenectomy using the harmonic scalpel.

Laparoscopic splenectomy is an accepted technique in the treatment of various pediatric autoimmune and hematologic disorders. We have employed the use of the harmonic scalpel and a posterolateral approach to improve hemostasis, ease of dissection, and decrease operative time. Four patients underwent laparoscopic splenectomy using the harmonic scalpel. Operative time averaged 1 h and 40 mm and average blood loss was less than 10 ml. Hospital stay averaged 2 days. Use of the harmonic scalpel has considerably cut our operative time and improved our patient outcomes.