Abstract
A 32-year-old female was diagnosed as having hereditary spherocytosis, when her second child was born. She was admitted to our hospital for splenectomy, because of icterus and anemia attack. Laparoscopic splenectomy was performed. The splenic hilum was divided by using an Endo-GIA suturing devise after dissection of attachment around the spleen. Because her spleen was too large to put it into a standard laparoscopic harvesting bag, an intestinal bag (Isolation BagTM) was used to successful collection of the spleen from the small incision. The spleen was the biggest one weighing 1,240g, among those in previously reported cases with laparoscopic splenectomy for hereditary spherocytosis in Japanese literature. Isolation BagTM was very useful to harvest the large spleen preventing splenosis which may cause diseae recurrence.
