Laparoscopic splenectomy by posterior approach
Epublication WebSurg.com, Jan 2007;07(01). URL: http://websurg.com/doi/vd01en2033
This "live" surgery demonstrates the posterior approach to splenectomy. Dr. Mutter, MD, PhD, describes each step of the procedure as he performs it. There is an interactive discussion with the audience. The tail of the pancreas was adherent to the splenic hilum and the LigaSure device is used to discover this plane. The authors mark the margin of costal margin and place a 12-mm trocar through an incision at the anterior costal margin. They then place a 5-12 mm trocar 5 cm anterior to the first trocar, and a third 5-cm trocar 3-4 cm below the costal margin.