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Laparoscopic ligation and resection of the SAA with splenic preservation offers permanent treatment, with a low morbidity and short hospital stay. Conclusion Selective laparoscopic aneurysm resection is a safe and effective approach, with good short- and long-term results, allowing permanent treatment of SAA while maintaining splenic function. Copyright © 2020 Tiago Correia de Sá et al.Retained surgical items continue to occur despite widespread implementation of prevention systems such as the surgical count, which has limited utility