PMC3021308_01
Initial incision with skin flaps.
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F1
Skin and soft tissue flaps were raised in both directions lateral to the midline trocar (Figure 1).
a. External photo of SPA set up. Figure 2b. Schematic of SPA.
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F2
Each trocar was introduced through separate fascial locations within the single umbilical incision (Figure 2a, b).
Internal photo of lateral mobilization.
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F3
Once access was obtained, the intraabdominal procedure was virtually the same as multiport laparoscopy (Figure 3).
Internal photo of splenic hilum.
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F4
The stapling device was fired several times across the splenic hilum (Figure 4).
Final incision.
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F5
The trocars were removed, the abdomen desufflated, the fascia was re-approximated, and the skin was closed (Figure 5).