PMC3002011_01
One 10 mm and two 5 mm ports placed through single-incision trans-umblically
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All the ports were ones used in conventional laparoscopic surgery [Figure 1].
Gastric traction suture in place providing wide exposure of lesser sac
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The stomach was retracted by an innovative gastric traction suture [Figure 2].
Articulating grasper retracting the lower pole of the spleen anteriorly, exposing the posterior splenic attachments
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Dissection was facilitated by the use of single articulating grasper in one hand and regular laparoscopic instruments in the other [Figure 3].
Endo GIA staple transaction of splenic hilum.
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The 10-mm port was then exchanged with a 12-mm port and splenic vessels were secured at hilum with an endo-GIA stapler (Autosuture, 45 mm White cartridge, 2.5 mm stapler length) [Figure 4].
Morselled spleen being retrieved transumblically in an endobag.
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The three port sites were connected and the morselled spleen was retrieved within an endobag through the umbilical incision [Figure 5].
Scar at 8 months follow-up after surgery
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At 8 months follow-up there was no umbilical hernia and the cosmetic result was excellent [Figure 6].