Table of Contents
How is laparoscopic splenectomy performed?
Step 1: Dissection of the inferior aspect of the spleen. Step 2: Dissection of the lateral and retroperitoneal attachments. Step 3: Transaction of the splenic hilum. A 10 mm fan retractor is inserted and will lift the inferior aspect spleen superiorly.
Where is the incision for a splenectomy?
Incision and entry into abdomen In most patients undergoing splenectomy for a hematologic disorder, a left subcostal incision is employed, beginning to the right of the midline and proceeding obliquely to the left approximately two fingerbreadths below the costal margin.
How is a patient positioned for splenectomy?
Presently, few surgeons prefer the supine position for adult laparoscopic splenectomy uncomplicated by massive splenomegaly or the need to perform concomitant procedures. The patient is placed supine on the operating table with lower extremities together and the upper extremities at the patient’s sides (Figure 16.1.
Can a splenectomy be done by laparoscopy?
Single-incision laparoscopic splenectomy Laparoscopic splenectomy has been also reported that can safely and successfully be done through a single incision, using a single port through which the working trocars are inserted in the abdominal cavity.
Is splenectomy major surgery?
Removing your spleen is a major surgery and leaves you with a compromised immune system. For these reasons, it’s only performed when truly necessary. The benefits of a splenectomy are that it can resolve several health issues such as blood diseases, cancer, and infection that could not be treated any other way.
What is the recovery time for a laparoscopic splenectomy?
After the Procedure You or your child will spend less than a week in the hospital. The hospital stay may be only 1 or 2 days after a laparoscopic splenectomy. Healing will likely take 4 to 6 weeks. After going home, follow instructions on taking care of yourself or your child.
Is a splenectomy a major surgery?
How is the patient positioned for a laparoscopic splenectomy?
Laparoscopic Splenectomy. Patient positioning during a laparoscopic splenectomy. The patient is placed on the operating room table in the right “lazy” decubitus position using a bean bag with the right arm abducted and the left arm adducted anterior and superior.
What is the trocar placement for laparoscopic splenectomy?
Trocar placement for laparoscopic splenectomy. Ports are inserted at the supra-umbilical position, right upper midline, left mid-abdomen at the anterior axillary line, and left lower mid-abdomen at the mid-clavicular line. After inspection of the abdomen, the left lower mid-abdominal 5 mm trocar…
What is a laparoscopic splenectomy?
Laparoscopic splenectomy. Division of short gastric vessels. Laparoscopic splenectomy. Division of short gastric vessels with use of endoscopic stapling device. Laparoscopic splenectomy. Ligation of splenic hilum.
What is the lateral approach to laparoscopic splenectomy for hilar ligation?
Lateral Approach to Laparoscopic Splenectomy. One potential strategy is to start with all 5-mm trocars and a 30° 5-mm laparoscope when visualization is satisfactory. After initial dissection and splenic mobilization, the port that gives the best angle for hilar ligation can be “upsized” to 12 mm for use of the endoscopic stapler.