In Part D of our Tobias Chapter 83 – Spleen series, we tackle one of the most essential surgical decisions in splenic disease:
When should you perform a partial splenectomy vs a total splenectomy?
The spleen is forgiving, redundant, and biologically fascinating — but your surgical strategy must match the underlying pathology.

You’ll learn:

• The physiologic consequences of removing vs preserving splenic tissue
• Why partial splenectomy is rarely indicated — but still worth knowing cold for boards
• Which conditions absolutely require total splenectomy
• Vascular anatomy that determines whether preservation is even possible
• How to perform partial resection safely when splenic preservation matters
• Board-relevant comparisons between partial, subtotal, and total splenectomy
• Postoperative considerations: blood storage, immune function, and recurrence risk

If you’ve ever wondered why so few patients get partial splenectomies — or whether you should attempt one — this episode brings clarity straight from Tobias Chapter 83.

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