Splenectomy/ Laparoscopic Splenectomy Procedure Quiz

What is the spleen’s primary tissue composition?

• Red pulp (vascular) and white pulp (lymphatic)

• Yellow marrow and red marrow

• Hepatic and renal tissue

• Smooth and skeletal muscle

Which ligament does not help anchor the spleen in its anatomical position?

• a) Gastrosplenic

• Splenorenal

• Hepatoduodenal

• Splenophrenic

The splenic artery always branches from the celiac trunk.

• True

• False

What is the most common indication for an emergency splenectomy?

• Splenic cyst

• Thrombocytopenia

• Trauma with intraperitoneal hemorrhage

• Splenomegaly

What procedural consideration is especially important during a trauma-related splenectomy?

• Use of a harmonic scalpel

• Placement of a Foley catheter

• Prioritizing hemorrhage control and having extra lap sponges and suction ready

• Performing a cholangiogram

Which instrument is used to safely contain and remove the spleen during a laparoscopic splenectomy?

• Endocatch

• Endobag

• Morcellator

• Poole suction tip

The surgical technologist may be responsible for manipulating the camera during a laparoscopic splenectomy.

• True

• False

What is the purpose of creating a window in the lesser sac during the procedure?

• To access the liver

• To visualize the pancreas

• To access the medial border of the spleen and gastric vessels

• To insert the endobag

Which of the following instruments is used to divide the splenic artery and vein during the procedure?

• Endocautery

• Endoscissors

• Endovascular stapler

• Fan retractor

What wound classification is assigned if there is intraoperative injury to the stomach or bowel with spillage?

• Class I: Clean

• Class II: Clean-contaminated

• Class III: Contaminated

• Class IV: Dirty-infected