case_images: PMC3002011_01
case_images: One 10 mm and two 5 mm ports placed through single-incision trans-umblically
case_images: JMAS-7-68-g001.jpg
case_images: PMC3002011_01_JMAS-7-68-g001.jpg
case_images: F0001
case_images: All the ports were ones used in conventional laparoscopic surgery [Figure 1].
case_images: Gastric traction suture in place providing wide exposure of lesser sac
case_images: JMAS-7-68-g002.jpg
case_images: PMC3002011_01_JMAS-7-68-g002.jpg
case_images: F0002
case_images: The stomach was retracted by an innovative gastric traction suture [Figure 2].
case_images: Articulating grasper retracting the lower pole of the spleen anteriorly, exposing the posterior splenic attachments
case_images: JMAS-7-68-g003.jpg
case_images: PMC3002011_01_JMAS-7-68-g003.jpg
case_images: F0003
case_images: Dissection was facilitated by the use of single articulating grasper in one hand and regular laparoscopic instruments in the other [Figure 3].
case_images: Endo GIA staple transaction of splenic hilum.
case_images: JMAS-7-68-g004.jpg
case_images: PMC3002011_01_JMAS-7-68-g004.jpg
case_images: F0004
case_images: The 10-mm port was then exchanged with a 12-mm port and splenic vessels were secured at hilum with an endo-GIA stapler (Autosuture, 45 mm White cartridge, 2.5 mm stapler length) [Figure 4].
case_images: Morselled spleen being retrieved transumblically in an endobag.
case_images: JMAS-7-68-g005.jpg
case_images: PMC3002011_01_JMAS-7-68-g005.jpg
case_images: F0005
case_images: The three port sites were connected and the morselled spleen was retrieved within an endobag through the umbilical incision [Figure 5].
case_images: Scar at 8 months follow-up after surgery
case_images: JMAS-7-68-g006.jpg
case_images: PMC3002011_01_JMAS-7-68-g006.jpg
case_images: F0006
case_images: At 8 months follow-up there was no umbilical hernia and the cosmetic result was excellent [Figure 6].