World Laparoscopy Hospital Essentials of Laparoscopic Surgery Laparoscopic Splenectomy R. K. Mishra World Laparoscopy Hospital Essentials of Laparoscopic Surgery
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Laparoscopic Splenectomy
R. K. Mishra
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Anatomy
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Ligaments
Pancreaticosplenic
Ligament
Gastrosplenic
Ligament
Phrenicosplenic
Ligament
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Ligaments
Splenocolic Ligament Phrenicocolic Ligament
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Case Selection
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
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
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Patient Position
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Access
Access Through Left
Hypochondrium
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Optical Port
Mid Clavicular Line
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Ports
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Right Hand Port
Mid Axillary Line
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Freeing of Adhesion
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection of Ligaments
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection of Hilum
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection of Hilum
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection by Linear Stapler
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Stapler Dissection for Hilum
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Introduction of Bag
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Retrieval
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Extraction of Spleen
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Extraction of Spleen
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Closure of Port
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Splenectomy by Tripolar
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Splenectomy using Suture
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Lateral Approach
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Accessory Spleen
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Complications of Lap Splenectomy
Intraoperative bleeding
Postsplenectomy
Sepsis
Wound/port site infection
Pancreatic injury.
Most of the complications are technique
related.
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Thank You
Prof. Mishra with his students
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