PMC2631531_01
Magnetic resonance imaging (MRI) showing the splenomegaly and the hemangioms.
1757-1626-2-10-1.jpg
PMC2631531_01_1757-1626-2-10-1.jpg
F1
Ultrasonography and Magnetic resonance imaging (MRI) showed a hypoechogenic mass involving the spleen and the splenomegaly (Figure 1).
Position of trocars.
1757-1626-2-10-2.jpg
PMC2631531_01_1757-1626-2-10-2.jpg
F2
The other three 5-mm operating trocars were positioned as follows: the first trocar was on the median line, 8 cm above the umbilicus, a second operating trocar in a left subcostal position on the axillary line to enable gastroepiploic mobilization, and a left 5-mm operating trocar was positioned in the left lateral position, 10 cm from the umbilicus (Figure 2).
Lift of the inferior pole of the spleen and division of the splenocolic ligament.
1757-1626-2-10-3.jpg
PMC2631531_01_1757-1626-2-10-3.jpg
F3
The splenocolic ligament was divided (Figure 3).
Incision of the lateral peritoneal attachments of the spleen.
1757-1626-2-10-4.jpg
PMC2631531_01_1757-1626-2-10-4.jpg
F4
The lateral peritoneal attachments of the spleen, the splenorenal and splenophrenic ligaments were sequentially incised (Figure 4).
Division of the vessels of the splenic hilum by application of endoscopic vascular staplers.
1757-1626-2-10-5.jpg
PMC2631531_01_1757-1626-2-10-5.jpg
F5
ETS Flex 45 Endoscopic Articulating Linear Cutter 45 mm staple line, 2.5 mm Staple Leg Length (Vascular/Thin). 45 MM Vascular/Thin). Each jaw was positioned anterior and posterior to the splenic vessels (Figure 5).