laparoscopic splenectomy done for huge splenomegaly caused by inherited hemolytic anemia in a young man. Spleen was delivered enblock from a Fanestiel incision. Comment: After getting enough exposure from the hilum of spleen, securing vascular pedicle an
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.
The plastic specimen bag has been retrieved through a large port site. A ring forceps is used to fragment the spleen and remove it piecemeal.
Port placement for laparoscopic splenectomy, lithotomy position.
Distal pancreatectomy with splenectomy. The figure demonstrates the proper angle of approach when transecting the pancreatic body with the 30-mm GIA stapler. The posterior aspect of the pancreas must be dissected completely to allow free passage of the st
Trocar placements for distal pancreatectomy. These sites are proper for both splenic salvage and with splenectomy. There should be at least a hand’s breadth distance between trocars 1, 3, and 4. The trocar for the laparoscope should be above the umbilicus