Distal pancreatectomy with splenectomy
Distal pancreatectomy with splenectomy. The figure demonstrates the proper angle of approach when transecting the pancreatic body with the 30-mm GIA stapler. The posterior aspect of the pancreas must be dissected completely to allow free passage of the st
Lateral traction on the splenogastric attachments
Once the lesser sac has been entered, lateral traction on the splenogastric attachments will allow exposure of the short gastric vessels. These can be clipped (as shown) or divided with the LCS. (Reprinted with permission from Salky BA, Edye M. Laparoscop
Trocar Placement
Trocar placements for distal pancreatectomy. These sites are proper for both splenic salvage and with splenectomy. There should be at least a hand’s breadth distance between trocars 1, 3, and 4. The trocar for the laparoscope should be above the umbilicus