In 1991, Delaitre et al. attempted the first laparoscopic LS (12). Since then, the laparoscopic approach for splenectomy has gained wide acceptance and has been shown by several groups to be a technically successful, safe, and effective procedure. LS is now considered the standard approach to removing a normal-sized spleen for patients without other contraindications. In cases of splenomegaly, LS is also feasible in experienced hands, but, because the larger-sized spleen makes the operative space narrow, the exposure is limited, and manipulations are difficult, the LS procedure becomes more technically challenging. The hypervascularization and dense adhesions around the spleen hamper the surgeon's performance as well. Moreover, once the dissection is completed, the extraction of a giant spleen with a solely laparoscopic approach by placing it into a retrieval bag followed by morcellation can be difficult, and it can add considerable time to the procedure.