Online Articles: Technical ReportsUtilization of the Falciform Ligament to Buttress the Spleen Transection Staple Line During Laparoscopic Partial Splenectomy A Novel TechniqueAmmori, Basil J. MB ChB, FRCS, MDAuthor Information Department of Oncology Surgery, King Hussein Cancer Center, Amman, Jordan The author declares no conflicts of interest. Reprints: Basil J. Ammori, MB ChB, FRCS, MD, Department of Oncology Surgery, King Hussein Cancer Center, Queen Rania Al Abdullah Street, P.O. Box 1269, Al-Jubeiha, Amman 11941, Jordan (e-mail: firstname.lastname@example.org). Received September 13, 2019 Accepted October 18, 2019 Online date: November 18, 2019 Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: February 2020 - Volume 30 - Issue 1 - p e1-e3 doi: 10.1097/SLE.0000000000000736 Buy Metrics Abstract Preservation of all or part the spleen is desired whenever oncologically acceptable and technically possible. Although a number of techniques for partial splenectomy have been described, the ideal approach remains elusive. We describe a novel technique in which the autologous falciform ligament was harvested, wrapped around the proposed splenic transection site, and secured with sutures to act as a buttress to a splenic transection staple line during a laparoscopic multivisceral resection for gastrocolic fistula secondary to locally advanced colon cancer. The spleen transection staple line was bloodless and the patient’s recovery was uneventful. Our novel application of the falciform ligament to buttress the staple line at the time of spleen transection during partial splenectomy appears safe and warrants further assessment. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.