Surgical Film Library-Anterior And Posterior Splenectomy In Surgery Of Carcinomatosis

Anterior And Posterior Splenectomy In Surgery Of Carcinomatosis

Video Transcription

Video Summary

This video demonstrates anterior and posterior splenectomy techniques in cytoreductive surgery for ovarian cancer carcinomatosis. The spleen's anatomical relations and vascular supply are described. The anterior approach involves ligating the splenic artery and vein separately, mobilizing the spleen, and resecting involved diaphragmatic tissue with chest tube placement. The posterior approach starts with diaphragmatic peritonectomy, mobilizing the spleen medially, transecting ligaments, and carefully ligating splenic vessels to avoid fistula. Both cases had no major complications. Postoperative care included vaccination, antibiotics, and adjuvant platinum-taxane chemotherapy, emphasizing safe vessel ligation and thorough tumor removal.

Asset Subtitle

Elodie Gauroy, France

Meta Tag

Procedure Type splenectomy

Route Open

Skill Level Intermediate

Surgical Location Upper abdomen

Keywords

Open

Upper abdomen

Intermediate

splenectomy

anterior splenectomy

posterior splenectomy

cytoreductive surgery

ovarian cancer carcinomatosis

splenic vessel ligation