Surgical Film Library-Splenectomy and Mesenteric Stripping

Video Transcription

Video Summary

The video discusses surgical techniques for advanced ovarian cancer, focusing on mesenteric stripping and splenectomy. Mesenteric stripping targets disease in the mesentery but carries risks of injuring vessels feeding the bowel, which can cause ischemia and perforation days post-op. Careful tangential resection and vessel palpation are crucial. Massive small bowel carcinomatosis may be unresectable. Splenectomy is needed in about 20% of primary debulking surgeries; however, distal pancreatectomy is often avoidable with meticulous pancreatic dissection, reducing morbidity. The surgeon emphasizes careful ligation of vessels near the stomach and pancreas to prevent ischemic injuries and complications, using a posterior approach to safely mobilize the spleen.

Asset Subtitle

Christina Fotopoulou, United States

Meta Tag

Procedure Type spenectomy and pelvic mass resection

Route Open

Skill Level Expert

Surgical Location Mid-abdomen

Keywords

Open

Mid-abdomen

Expert

spenectomy and pelvic mass resection

advanced ovarian cancer

mesenteric stripping

splenectomy

small bowel ischemia

pancreatic dissection