Robotic partial splenectomy: a new standardized approach

The treatment of benign splenic diseases is trending toward a conservative approach, especially for young patients, due to the importance of preserving as much splenic parenchyma as possible. Minimally invasive partial splenectomy (PS), which has become the gold standard for managing benign splenic conditions, is generally associated with low morbidity and near-zero mortality. Herein, we describe a standardized and safe technique to perform this procedure. This new approach combines preoperative selective distal embolization of the splenic artery with indocyanine green (ICG)-guided robotic partial splenectomy using the technique of negative staining as applied in liver surgery.