Right lateral decubitus approach to a laparoscopic modified Hassab's operation

Motomu Tanaka, Yoshifumi Ikeda, Shimpei Matsui, Ayu Kato, Nobuhiro Nitori, Tomohisa Kadomura, Takashi Hatori, Masaki Kitajima

Research output: Contribution to journalArticle

Abstract

MATERIALS AND SURGICAL TECHNIQUE: Indications for the modified Hassab's operation for patients with portal hypertension in our institute include both gastric varices and hypersplenism resistant to endoscopic or radiologic procedures. We performed splenectomy and devascularization of the greater curvature and then dissected adhesions between the stomach, pancreas, and gastrohepatic ligament. With the patient in the right lateral decubitus position, the lesser curvature could be identified from both the ventral and dorsal sides.

DISCUSSION: For the modified Hassab's operation, as in laparoscopic gastrectomy, many operators select the supine position for lesser curvature devascularization and gastric vessel ligation. However, after sufficient adhesion dissection around the stomach, anatomical structures can be identified in the right lateral decubitus position. For this approach, gravity is not an issue on the dorsal side, and the lesser curvature can be observed from both the ventral and dorsal sides with the patient in the right lateral decubitus position. Laparoscopically performing the modified Hassab's operation with the patient in the right lateral decubitus position is a feasible method.

INTRODUCTION: The lateral approach is the standard for laparoscopic splenectomy. However, when the modified Hassab's operation is performed laparoscopically, the patient is placed in the supine position and then the right semi-lateral or lateral decubitus position. Based on our experience with laparoscopic adrenalectomy and splenectomy, we laparoscopically performed the modified Hassab's operation with the patient in the right lateral decubitus position.

Original languageEnglish
Pages (from-to)97-100
Number of pages4
JournalAsian journal of endoscopic surgery
Volume9
Issue number1
DOIs
Publication statusPublished - 2016 Feb 1
Externally publishedYes

Keywords

  • Esophageal and gastric varices
  • laparoscopy
  • portal hypertension

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Tanaka, M., Ikeda, Y., Matsui, S., Kato, A., Nitori, N., Kadomura, T., Hatori, T., & Kitajima, M. (2016). Right lateral decubitus approach to a laparoscopic modified Hassab's operation. Asian journal of endoscopic surgery, 9(1), 97-100. https://doi.org/10.1111/ases.12252