PMC6111032_01
CT scan showing an intra-parenchimal lesion of 5 cm in a 26-cm interpole diameter spleen.
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During the hematological follow-up, the patient developed a splenomegaly (spleen longitudinal diameter: 26 cm) and an intra-parenchimal lesion of 5 cm having standardized uptake values (SUV) of 14 at positron emission tomography (PET)/computerized tomography (CT) scan (Fig. 1).
The Unimax port is positioned in the umbilicus and the Gelport in a suprapubic incision. The Gelport accommodates the assistant's left hand in the first part of the operation.
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Then, the intraabdominal hand pushed the spleen laterally to allow the entry to the lesser sac (Fig. 2, Fig. 3).
The Gelport device accommodates a retractor for the dissection of the superior pole of the spleen, as the splenic dissection proceeds.
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Following hilar division, the inserted hand was retracted from the Gelport to place a retractor to expose the remaining superior attachments (Fig. 4).
The specimen is retrieved in toto for anatomo-pathological examination. The splenic nodular lesion appeared whitish, solid and well demarcated.
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The bag was pulled to the Gelport hand-assisted device and the spleen was retrieved intact (Fig. 5).