Hafezi N, Carpenter KL, Colgate CL, et al. - For management of hematologic disorders in children, partial, or subtotal, splenectomy (PS) has been identified as an accepted alternative to total splenectomy (TS). Researchers sought to report their institutional experience with partial splenectomy, with the aim to examine the rate of subsequent TS or cholecystectomy and determine if any factors affected this need. PS was performed in 24 patients at median age 6.0 years, with preoperative spleen size of 12.7 cm by ultrasound. At a median follow up time of 8.0 years, completion splenectomy was performed in 29% of all patients and 24% of hereditary spherocytosis (HS) patients at median 34 months and 45 months, respectively. A delayed cholecystectomy following PS was performed in 39% of HS patients who did not have a cholecystectomy with or prior to PS. Overall findings support the safety of performing partial splenectomy as an alternative to total splenectomy in children with hematologic disease with theoretical decreased susceptibility to OPSS. However, counselling of families is recommended concerning a 29% chance of reoperation to completion splenectomy, and a 39% chance of delayed cholecystectomy in HS patients, if not performed prior to or with PS.