1. Splenic artery aneurysms: Methods of laparoscopic repair
Marjorie J. Arca, MD, Michel Gagner, MD, B.Todd Heniford, MD, Timothy M. Sullivan, MD, Edward G. Beven, MD 
Journal of Vascular Surgery 
Volume 30, Issue 1, Pages (July 1999)
DOI: /S (99)
Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2. Fig 1
Transection of the gastrocolic omentum to accesses the lesser space. The harmonic endoshears are very useful in this maneuver.
Journal of Vascular Surgery  , DOI: ( /S (99) )
Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3. Fig 2
Laparoscopic splenectomy and aneurysmectomy. This should be performed when the lesion is distal in the splenic artery and/or there is a splenic pathologic lesion.
Journal of Vascular Surgery  , DOI: ( /S (99) )
Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4. Fig 3
Laparoscopic Doppler ultrasonography. Flow characteristics of the aneurysm are shown and identification of the tributaries of the aneurysm are made easier with ultrasound scanning.
Journal of Vascular Surgery  , DOI: ( /S (99) )
Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5. Fig 4
Ligation of splenic artery proximal and distal to the aneurysm. The artery is encircled by umbilical tape to facilitate handling. The vascular linear stapler is then applied. Whether a complete aneurysmectomy or a simple arterial ligation is performed is a decision made during the operation.
Journal of Vascular Surgery  , DOI: ( /S (99) )
Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions