Laparoscopic splenectomy

Laparoscopic splenectomy

Laparoscopic splenectomy.
Professor A.Forgione (Italy) is performing an operation (2017).

In this video the technique of laparoscopic splenectomy by means of a 5 mm Harmonic Scalpel Ethicon instrument is demonstrated. Operation is performed for idiopathic thrombocytopenic purpura (ITP). At first splenic artery is exposed and temporarily clipped. It is done to prevent the risk of bleeding during handling of vascular pedicle of spleen. Then, using Endo GIA MEDTRONIC COVIDIEN apparatus (with a 60 mm white casette), splenic vessels are stitched and transected. Preparation is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed through the expanded access at the end of operation.

Laparoscopic splenectomy

Laparoscopic splenectomy.
Professor Poddubny I.V. is performing an operation.

In this film the technique of laparoscopic splenectomy in a 5 year-old kid with hereditary microspherocytic anemia is presented. Three troacars have been used, the position of a patient is supinal and on the right side. The main stages of operation are as follows: revision with visualization of accessory lobe, transection of the gastrosplenic ligament, short gastric arteries, total mobilization of the lower pole and anterior surface of the spleen, complete mobilization of the posterior surface of the spleen, separation of a pancreas tail, a careful mobilization and skeletonning of the vascular pedicle of the spleen, its transection, using a 10 mm LigaSure Atlas apparatus, spleen removal through a 2 cm umbilical incision with the help of endoscopic sac.

Laparoscopy. Accessory spleen

Laparoscopy. Accessory spleen.
Professor Puchkov K.V. is performing an operation (2012).

Operation is performed for hiatal hernia. During diagnostic laparoscopy an accessory spleen has been found out-2 cm, located in the gastrocolic ligament. These possible versions of anatomy should be taken into consideration during splenectomy, that is performed for hematological diseases. If not to remove an accessory spleen, the relapse of disease can occur.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.