Microspherocytic anemia
Laparoscopic splenectomy
Автор: Poddubny I.V.
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.