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An easy way to put the spleen into the bag

INTRODUCTION: Splenectomy is a therapeutic and diagnostic procedure used in a wide range of situations. Laparoscopic splenectomy has become the gold standard in some hematological diseases. The laparoscopically removed spleen is placed into a surgical bag, a step which is sometimes the most time-con...

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Autores principales: Cakir, Murat, Tekin, Ahmet, Kartal, Adil, Tuncer, Fatma Betul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3796715/
https://www.ncbi.nlm.nih.gov/pubmed/24130640
http://dx.doi.org/10.5114/wiitm.2011.33612
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author Cakir, Murat
Tekin, Ahmet
Kartal, Adil
Tuncer, Fatma Betul
author_facet Cakir, Murat
Tekin, Ahmet
Kartal, Adil
Tuncer, Fatma Betul
author_sort Cakir, Murat
collection PubMed
description INTRODUCTION: Splenectomy is a therapeutic and diagnostic procedure used in a wide range of situations. Laparoscopic splenectomy has become the gold standard in some hematological diseases. The laparoscopically removed spleen is placed into a surgical bag, a step which is sometimes the most time-consuming part of the operation. AIM: To present the method that we employed in laparoscopic splenectomy to place the specimen into the bag and extract it in an easier and simpler way. MATERIAL AND METHODS: The proximal part of the splenorenal ligament is left undivided in the size of one LigaSure cut length to use as a stalk while placing the spleen into the surgical bag. The bag is advanced from the inferior pole of the spleen toward the superior pole. Only keeping the bag open is sufficient to place the spleen into the bag. RESULTS: Recently, me started to put the spleen into the bag easily before cutting upper attachment of the spleen laparoscopically. So far we applied this procedure in more than eleven cases without complication. CONCLUSIONS: Splenectomy is now the gold standard in the treatment of hematologic diseases that are resistant to medical treatment or that are not amenable to medical treatment because of its complications. Through our experience, the method that we describe here easily overcomes one of the most unpleasant parts of laparoscopic splenectomy.
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spelling pubmed-37967152013-10-15 An easy way to put the spleen into the bag Cakir, Murat Tekin, Ahmet Kartal, Adil Tuncer, Fatma Betul Wideochir Inne Tech Maloinwazyjne Technical Notes INTRODUCTION: Splenectomy is a therapeutic and diagnostic procedure used in a wide range of situations. Laparoscopic splenectomy has become the gold standard in some hematological diseases. The laparoscopically removed spleen is placed into a surgical bag, a step which is sometimes the most time-consuming part of the operation. AIM: To present the method that we employed in laparoscopic splenectomy to place the specimen into the bag and extract it in an easier and simpler way. MATERIAL AND METHODS: The proximal part of the splenorenal ligament is left undivided in the size of one LigaSure cut length to use as a stalk while placing the spleen into the surgical bag. The bag is advanced from the inferior pole of the spleen toward the superior pole. Only keeping the bag open is sufficient to place the spleen into the bag. RESULTS: Recently, me started to put the spleen into the bag easily before cutting upper attachment of the spleen laparoscopically. So far we applied this procedure in more than eleven cases without complication. CONCLUSIONS: Splenectomy is now the gold standard in the treatment of hematologic diseases that are resistant to medical treatment or that are not amenable to medical treatment because of its complications. Through our experience, the method that we describe here easily overcomes one of the most unpleasant parts of laparoscopic splenectomy. Termedia Publishing House 2013-03-05 2013-09 /pmc/articles/PMC3796715/ /pubmed/24130640 http://dx.doi.org/10.5114/wiitm.2011.33612 Text en Copyright © 2013 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Technical Notes
Cakir, Murat
Tekin, Ahmet
Kartal, Adil
Tuncer, Fatma Betul
An easy way to put the spleen into the bag
title An easy way to put the spleen into the bag
title_full An easy way to put the spleen into the bag
title_fullStr An easy way to put the spleen into the bag
title_full_unstemmed An easy way to put the spleen into the bag
title_short An easy way to put the spleen into the bag
title_sort easy way to put the spleen into the bag
topic Technical Notes
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3796715/
https://www.ncbi.nlm.nih.gov/pubmed/24130640
http://dx.doi.org/10.5114/wiitm.2011.33612
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