There are various splenic diseases that require surgical treatment. Portal hypertension in cirrhosis often causes splenomegaly, hypersplenism and leads to thrombocytopenia, which causes bleeding tendencies. Blood disorders can also cause splenomegaly and thrombocytopenia. Solid tumors and cysts of the spleen itself are at risk of ruptured spleen bleeding. Trauma often leads to bleeding spleen rupture. All of these conditions require splenectomy. Traditional open splenectomy requires a skin incision of about 20 cm in the left upper abdomen, which is more traumatic and results in a slower postoperative recovery. Based on the mastery of traditional open surgery, laparoscopic minimally invasive splenectomy is now widely carried out in our department, which only requires a few small holes in the abdomen to remove the spleen, with the advantages of less intraoperative bleeding, less trauma, less postoperative pain, faster recovery of gastrointestinal function, small and beautiful wounds, and shorter hospital stay. The laparoscope has a magnifying effect, so that the local blood vessels can be seen more clearly during surgery and the surgical field can be exposed more easily. The differences between the two surgical methods in terms of operation time, operation cost and postoperative complications are not significant, but laparoscopic surgery is superior to open surgery in terms of intraoperative bleeding, postoperative intestinal motility recovery time and hospitalization time. We welcome patients to come to our hepatobiliary surgery department for consultation and treatment.