New Approach to the Splenic Vessels

No AccessJournal of Urology1 Mar 1978New Approach to the Splenic Vessels J.M. Gil-vernet, A. Caralps, and D. Ruano J.M. Gil-vernetJ.M. Gil-vernet More articles by this author , A. CaralpsA. Caralps More articles by this author , and D. RuanoD. Ruano More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)57475-3AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The transperitoneal approach is used systematically for an arterial or a venous splenorenal anastomosis. However, this approach is associated with high morbidity and mortality rates. Because of our anatomical and surgical findings we have used the retroperitoneal approach to the splenic hilus by means of the lumbar region. The first splenorenal arterial anastomosis with this approach was done in 1972. The approach has proved to be less aggressive since it avoids the danger of damaging the pancreas, it is a more direct approach to the splenic vessels and it provides better exposure and facilitates the anastomosis. In addition, the loss or infection of ascitic fluid in cirrhotic patients is avoided with this approach, as well as intraoperative hemorrhaging caused by the great surplus circulation. There has been neither mortality nor complications in the 13 cases of arterial and venous splenorenal anastomoses that we have done with this method. © 1978 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byGil-Vernet J, Gil-Vernet A, Caralps A, Carretero P, Talbot-Wright R, Andreu J and Campos J (2018) Orthotopic Renal Transplant and Results in 139 Consecutive CasesJournal of Urology, VOL. 142, NO. 2 Part 1, (248-252), Online publication date: 1-Aug-1989.Van Poppel H, Gil-Vernet J, Caralps A and Fernandez C (2018) Translumbar Splenectomy in Human Kidney Transplant RecipientsJournal of Urology, VOL. 134, NO. 2, (247-248), Online publication date: 1-Aug-1985.Sagalowsky A (2018) Editorial CommentJournal of Urology, VOL. 134, NO. 2, (248-248), Online publication date: 1-Aug-1985. (2018) Reply by AuthorsJournal of Urology, VOL. 134, NO. 2, (248-248), Online publication date: 1-Aug-1985. Volume 119Issue 3March 1978Page: 313-315 Advertisement Copyright & Permissions© 1978 by The American Urological Association Education and Research, Inc.MetricsAuthor Information J.M. Gil-vernet More articles by this author A. Caralps More articles by this author D. Ruano More articles by this author Expand All Advertisement PDF downloadLoading ...