UPDATED TOPICS IN MINIMALLY INVASIVE ABDOMINAL SURGERY

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206 Updated Topics in Minimally Invasive Abdominal Surgery 3.1 Congenital form Wandering spleen is in most cases a randomly distributed birth defect but in some cases it can be part of a syndrome. Fig. 1. Transverse section. Development of peritoneal reflexions of spleen during primitive embryonic stage. Coeliac artery territory. Fig. 2. Transverse section. Peritoneal reflexions of spleen are developed from dorsal mesogastrium (primitive dorsal mesentery).
Laparoscopic Gastropexy for the Treatment of Wandering Spleen With or Without Gastric Volvulus Fig. 3. Frontal section showing the formation of splenocolic ligament and phrenicocolic ligament 3.1.1 Association 3.1.1.1 Congenital diaphragmatic hernia The first case of wandering spleen associated to congenital diaphragmatic hernia (CDH) was described in the literature in 1940 by Bohrer. Several cases have been reported since then (Yasuda et al, 2010; Fiquet-François et al, 2010; Yilmaz et al, 2008; De Foer et al, 1994). The diagnosis of both pathologies can occur at the same time or the diagnosis of wandering spleen can be secondary to CDH. With CDH wandering spleen can be a result of an abnormal or absence of retroperitoneal fixation. Based on these data, all patients with CDH should be considered as potential candidates for wandering spleen. 3.1.1.2 Omphalocele Yilmaz reported the unusual case of wandering spleen associated to omphalocele. (Yilmaz et al, 2008) As a possible cause for this association they listed defects on the abdominal walls through which the organs were protruding, resulting in a restriction of the stomach and spleen normal rotation or inefficient fusion after the rotation has been completed 3.1.2 Familial wandering spleen Ben Ely described the first case of familial wandering spleen with two sisters diagnosed at a 3-year interval. (Ben Ely et al, 2008) 3.2 Acquired form 3.2.1 Postoperative (subtotal splenectomy) Even if these data are not found in the literature, our multicenter study (Fiquet-François et al, 2010) reported 4 cases of wandering spleen post subtotal splenectomy. They were in fact excluded from the study that only focused on congenital forms. These cases are quite 207
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free online editions of InTech Book
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VI Contents Chapter 9 Appendicitis
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Part 1 Laparoscopic Biliary-Pancrea
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4 Updated Topics in Minimally Invas
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1. Introduction 5 Laparoscopic Live
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Laparoscopic Liver Resection 2.2.1
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Laparoscopic Liver Resection of 64
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Laparoscopic Liver Resection conver
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Laparoscopic Liver Resection (Bruix
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Laparoscopic Liver Resection (Buell
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Laparoscopic Liver Resection House,
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1. Introduction 6 Hilar Glissonean
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Hilar Glissonean Access in Laparosc
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1. Introduction 7 Laparoscopic Live
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Laparoscopic Liver Surgery Fig. 1.
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Laparoscopic Liver Surgery speciali
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Laparoscopic Liver Surgery 3. Imagi
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Laparoscopic Liver Surgery 5 mm por
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Laparoscopic Liver Surgery A nylon
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Laparoscopic Liver Surgery Fig. 7a.
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Laparoscopic Liver Surgery or later
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Laparoscopic Liver Surgery non rand
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Laparoscopic Liver Surgery With rap
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Laparoscopic Liver Surgery [19] Tro
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Laparoscopic Liver Surgery [51] Lai
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Laparoscopic Liver Surgery [84] Les
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Part 3 Laparoscopic Appendectomy
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UPDATED TOPICS IN MINIMALLY INVASIVE ABDOMINAL SURGERY

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