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- Title
Alternate Dissection and Stapling in Patients with Larger Spleen in Laparoscopic Sleeve Gastrectomy.
- Authors
Kitaghenda, Fidele Kakule; Zhou, Zidong; Hong, Jian; Yao, Libin; Zhu, Xiaocheng; Shao, Yong
- Abstract
Therefore, an alternate dissection and stapling technique were developed to minimize the risk of bleeding or splenic ischemia in patients with larger spleens. In our study, we identified certain bariatric patients with larger spleens, where the posterior aspect of the fundus or the left crus ligament closely adhered to the spleen (Fig. Moraes et al. categorized the splenic artery based on origin and ramification, revealing that 95.47% of patients presented with the bifurcation of the terminal division of the splenic artery, while 4.53% of patients presented with trifurcation.
- Subjects
SLEEVE gastrectomy; SPLEEN; FATTY liver; LAPAROSCOPIC surgery; STAPLERS (Surgery); MORBID obesity; GASTRIC bypass; SPLENIC artery
- Publication
Obesity Surgery, 2023, Vol 33, Issue 10, p3312
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-023-06788-9