Page 1 World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Laparoscopic Splenectomy
R. K. Mishra
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
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Anatomy
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Ligaments
Pancreaticosplenic
Ligament
Gastrosplenic
Ligament
Phrenicosplenic
Ligament
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Ligaments
Splenocolic Ligament Phrenicocolic Ligament
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Case Selection
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Operating Room Set-up
PATIENT POSITION Supine
- Semi right Lateral
SURGEON POSITION To
the right of the patient
NURSE POSITION To the
right of the patient [next to
the surgeon].
MONITORS 1 - On the left
side of the patient
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Patient Position
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Access
Access Through Left
Hypochondrium
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Optical Port
Mid Clavicular Line
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Ports
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Right Hand Port
Mid Axillary Line
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Freeing of Adhesion
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Dissection
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Dissection
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Dissection
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Dissection of Ligaments
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Dissection of Hilum
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Dissection of Hilum
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Dissection by Linear Stapler
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Stapler Dissection for Hilum
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Introduction of Bag
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Retrieval
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Extraction of Spleen
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Extraction of Spleen
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Closure of Port
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Splenectomy by Tripolar
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Splenectomy using Suture
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Lateral Approach
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Accessory Spleen
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Complications of Lap Splenectomy
Intraoperative bleeding
Postsplenectomy
Sepsis
Wound/port site infection
Pancreatic injury.
Most of the complications are technique
related.
Page 31 World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Thank You
Prof. Mishra with his students