case_images: PMC2631531_01
case_images: Magnetic resonance imaging (MRI) showing the splenomegaly and the hemangioms.
case_images: 1757-1626-2-10-1.jpg
case_images: PMC2631531_01_1757-1626-2-10-1.jpg
case_images: F1
case_images: Ultrasonography and Magnetic resonance imaging (MRI) showed a hypoechogenic mass involving the spleen and the splenomegaly (Figure 1).
case_images: Position of trocars.
case_images: 1757-1626-2-10-2.jpg
case_images: PMC2631531_01_1757-1626-2-10-2.jpg
case_images: F2
case_images: The other three 5-mm operating trocars were positioned as follows: the first trocar was on the median line, 8 cm above the umbilicus, a second operating trocar in a left subcostal position on the axillary line to enable gastroepiploic mobilization, and a left 5-mm operating trocar was positioned in the left lateral position, 10 cm from the umbilicus (Figure 2).
case_images: Lift of the inferior pole of the spleen and division of the splenocolic ligament.
case_images: 1757-1626-2-10-3.jpg
case_images: PMC2631531_01_1757-1626-2-10-3.jpg
case_images: F3
case_images: The splenocolic ligament was divided (Figure 3).
case_images: Incision of the lateral peritoneal attachments of the spleen.
case_images: 1757-1626-2-10-4.jpg
case_images: PMC2631531_01_1757-1626-2-10-4.jpg
case_images: F4
case_images: The lateral peritoneal attachments of the spleen, the splenorenal and splenophrenic ligaments were sequentially incised (Figure 4).
case_images: Division of the vessels of the splenic hilum by application of endoscopic vascular staplers.
case_images: 1757-1626-2-10-5.jpg
case_images: PMC2631531_01_1757-1626-2-10-5.jpg
case_images: F5
case_images: ETS Flex 45 Endoscopic Articulating Linear Cutter 45 mm staple line, 2.5 mm Staple Leg Length (Vascular/Thin). 45 MM Vascular/Thin). Each jaw was positioned anterior and posterior to the splenic vessels (Figure 5).