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Mobilization and take-down of splenic flexure and splenocolic ligament.

Mobilization and take-down of splenic flexure and splenocolic ligament.

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Figure 1. Port positioning with 10-12-millimeter port in left...
Figure 2. Position of patient and port placement.
Figure 3. Division of gastrocolic ligament.
Figure 4. Mobilization and take-down of splenic flexure and splenocolic...
+4 Figure 5. Careful division of inferior pancreatic attachments to avoid...
Three-Port Laparoscopic Spleen-Preserving Distal Pancreatectomy with Splenic Vessel Preservation
Article
Full-text available
  • Apr 2022
Laparoscopic distal pancreatectomy is now accepted treatment for benign and certain malignant pancreatic body and/or tail processes and is generally performed using four to six ports. Splenic preservation avoids inherent risks associated with the post-splenectomy state, but adds surgical complexity. In this case series, we describe our single surge...
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... separating the omentum along the greater curvature of the stomach ensuring preservation of the gastroepiploic vasculature superiorly ( Figure 3). The splenocolic ligament is divided and the splenic flexure is mobilized inferiorly (Figure 4). The lesser sac is then entered. ...

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