Injury to Adjacent Organs
- Stomach: very rare deserosation possible > suturing
- Intestine: rare deserosation possible > suturing
- Spleen: with spleen preservation: hemostasis using hemostatic agents or electrocoagulation
- Liver: rare bleeding or bile leak > electrocoagulation, liver suture
Vascular Injuries
- Portal vein/Superior mesenteric vein: suturing, partial resection, and end-to-end anastomosis
- Splenic artery/vein: if necessary, vascular suture, possibly also splenectomy
- Injury to the transverse mesocolon with perfusion disturbance of the transverse colon: very rare > resection of the ischemic bowel segment and end-to-end anastomosis
Avoidance of intraoperative complications through careful preparation!