PMC7492907_01
Abdominal CT-enhanced images: (a) shows plain scan; (b) shows arterial phase; and (c) shows venous phase. The upper part of the spleen is about 7-8 cm with slightly low-density shadow.
CRIS2020-6245909.001.jpg
PMC7492907_01_CRIS2020-6245909.001.jpg
fig1
In the imaging diagnosis of abdominal CT enhancement, the cystic space-occupying lesion of the spleen is considered (Figure 1).
Intraoperative findings: (a) splenic space occupied during operation; (b) free secondary vessels of the splenic pedicle; (c) after disconnection of secondary vessels of the splenic pedicle, ischemic line on the surface of the spleen can be seen; and (d) along the ischemic line, the spleen of an affected side can be removed.
CRIS2020-6245909.002.jpg
PMC7492907_01_CRIS2020-6245909.002.jpg
fig2
During the operation, there was about 8 cm of the upper pole of the spleen, and the boundary was clear.  Figure 2.
Position of trocars in robotic splenectomy. R1 and R2: robotic arms; VLS: laparoscopic assistance.
CRIS2020-6245909.003.jpg
PMC7492907_01_CRIS2020-6245909.003.jpg
fig3
The trocar position is presented in Figure 3.