While laparoscopic splenectomy has become the standard procedure for the surgical treatment of
hematologic splenic disorders, the role of robotic splenectomy is still a matter of debate. The robotic equipment is
expensive, still bulky and the surgical team needs special training. However, there are some limitations of
laparoscopy in difficult splenectomies (massive splenomegaly, portal hypertension, partial/subtotal splenectomy
and splenic malignancies) which can be overcome by the robotic system by means of better visualization,
maneuverability and motion control allowing a better dissection of the splenic vessels and precise and timeefficient
intracorporeal maneuvers.
