With the patient in the left lateral decubitus position, the endoscopist facing the patient, and the scope relaxed as described in the text, entry into the stomach will generally give a view oriented with the lesser curvature at 12 o’clock, the greater cu
Patient position and trocar sites for pediatric laparoscopic splenectomy. Note that the patient is in the lateral position, and the operating table has been flexed to increase the distance between costal margin and superior iliac crest.
Once the lesser sac has been entered, lateral traction on the splenogastric attachments will allow exposure of the short gastric vessels. These can be clipped (as shown) or divided with the LCS. (Reprinted with permission from Salky BA, Edye M. Laparoscop