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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
Anatomy
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Ligaments
Pancreaticosplenic
Ligament
Gastrosplenic
Ligament
Phrenicosplenic
Ligament
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Ligaments
Splenocolic Ligament Phrenicocolic Ligament
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Case Selection
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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
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Patient Position
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Access
Access Through Left
Hypochondrium
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Optical Port
Mid Clavicular Line
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Ports
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Right Hand Port
Mid Axillary Line
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Freeing of Adhesion
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection of Ligaments
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection of Hilum
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection of Hilum
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Dissection by Linear Stapler
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Stapler Dissection for Hilum
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Introduction of Bag
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Retrieval
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Extraction of Spleen
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Extraction of Spleen
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Closure of Port
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Splenectomy by Tripolar
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Splenectomy using Suture
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Lateral Approach
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Accessory Spleen
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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.
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Thank You
Prof. Mishra with his students