Journal of Clinical Case Reports

Hiroaki Sato

Publications

• Case Report
  A Case of Splenic Metastasis of Ovarian Cancer Treated with Complete Laparoscopic Splenectomy and Transvaginal Specimen Extraction
  Author(s): Yoshiaki Takase, Naoki Tomizawa, Yasuaki Enokida, Takuya Shiraishi, Ryuji Katoh, Yujin Suto, Hiroaki Sato, Ken Muroya, Ryo Kurosaki, Katsumi Kobayashi, Kazuhisa Arakawa, Tatsumasa Ando and Izumi TakesyohiYoshiaki Takase, Naoki Tomizawa, Yasuaki Enokida, Takuya Shiraishi, Ryuji Katoh, Yujin Suto, Hiroaki Sato, Ken Muroya, Ryo Kurosaki, Katsumi Kobayashi, Kazuhisa Arakawa, Tatsumasa Ando and Izumi Takesyohi
  
  A 61-year-old woman was diagnosed with right inguinal lymph node and splenic metastasis of ovarian serous cystadenocarcinoma. We performed right inguinal lymph node dissection and total laparoscopic splenectomy in the supine position followed by transvaginal specimen extraction (TVSE). First, using three ports, we extracted the right inguinal lymph node. We repaired the posterior wall of the inguinal canal using a mesh plug. We added two ports and displaced the spleen from the retroperitoneum and lifted it using a snake retractor, disconnecting the hilum using an automatic suturing device. Next, the posterior wall of the vagina was intraperitoneally incised and an Alexis® laparoscopic system was inserted into the vagina. The cap maintained aeroperitoneum, a collection bag was inserted in the abdominal cavity via the vagina, and the spleen was collected. When the spleen was removed.. Read More»
  DOI: 10.4172/2165-7920.1000807

  Abstract PDF