Shadowing Practice: Surgical Anatomy 2 (Spleen) - Learn English Speaking with Video

In part 1 of this video, we talk about the spleen, its size and size, the spleenule,

the spleenic vessels, the vascular distribution of these vessels to segments, and so on.

Now we are talking about the spleenic ligaments, which is a really important topic when talking about surgical anatomy,

because these ligaments are all excised or divided in order to perform spleenectomy.

Anatomy box speaks about eight ligaments, the gastrosplenic, the splenophenic, splenorenal,

or the lineorenal, the ancient or the older name, pancreatic splenic, pancreatic colic, splenocolic,

perisplenic fold, and the phrenicocolic ligament.

But here we will just talk about five of these ligaments, which are the cardinal ligaments.

First, the gastrosplenic, the splenophrenic, the splenorenal, also the splenocolic,

and lastly the phrenicocolic ligament.

We will talk first about the gastrosplenic ligament.

Gastrosplenic ligament is a ligament between the spleen and the stomach, from its name.

there's some information about this ligament first of all it's a

triangular ligament you can see in this diagram this is the gastro splenic ligament

and it's apex near the upper pool of the spleen

and space is as a wider base

and near the lower pool this tell us

that says the upper pool of the spleen is really close to the stomach

so when performing the section in this area you may injure either the stomach or the spleen.

So be careful in the section in this area.

Also the section actually is easier in the wider base of the ligament.

This ligament also have two important structures passing in it which is, you can see here,

the short gastric vessels this is the excised

or divided gastrosplenic ligament the short gastric vessels and near the upper pool

and the gastroepiploic the left gastroepiploic vessels near the lower pool

so this is a vascular structure actually it should be excised between clamps

or using a harmonic

or whatever appropriate to ensure hemostasis in this ligament the second

ligament is the splenophenic ligament number two this one this is a splenophenic ligament between the spleen

and the diaphragm it's important to know

that this some authors thought this is not a true ligament

it's just a part we can condense about from the gastrosplenic ligament also it may be containing a fleshy part

or sling of fiber of muscular fibers from the diaphragm

so the section here also must be meticulous

because it may be may need a lot of hemostasis traction

of the spleen downwards may cause a valgian of this area

so take care

when you are tracked performing traction of the spleen not to cause a valgian of the splenic capsule

and this area and cause marked pleading the third ligament

and third important ligament is a splenorenal

or the lino -renal as we said it's between the spleen

and the kidney actually this this diagram can show it more

comprehensively this is the spleen this is the kidney it is a cross -section of course stomach

and this is the gastrosplenic ligament containing the short gastric vessels and this is This brittoneal flexion is the splenorenal ligament.

As we can see here, it's connected to the kidney,

and it contains the splenic artery and vein and the tail of pancreas.

So this is a very vascular port, and actually it covers all the hilum of the spleen, so this section here is important.

You can encounter during splenectomy this ligament from two approaches.

Either if you are dissecting in this direction,

dissecting the gastrosplenic ligament, you will approach the hilum of the spleen from the front side

and you will start your dissection like this.

Or you can approach it from other side

if you are retracting the spleen to the right to deliver

spleen outside the incision you are you are inserting your hand in this space and grabbing the spleen we're moving it

to the right in this direction so you can imagine

if this structures are reflected to the side

so you will encounter this ligament from the posterior side

and you will also encounter the tail of the pancreas

and both the splenic vessels take care this is a vascular ligament you can perform finger dissection

or plant dissection but it contains very important vessels

which is the splenic artery and vein and also the tail of the pancreas

so take care

while performing the section in this area the pancreatic splenic ligament actually is not a true ligament it means

if the tail the pancreas doesn't reach the hilum it will be connected with a small part

which is the pancreatic splenic ligament it may be not found if the pancreas is long enough to reach the hilum

pancreatic colic ligament actually number five this one is a part of the transverse mesocolon

here's a splenocolic ligament which another important ligament we will talk about So,

it may be containing polar vessels, it's number 6, right here,

it's between the spleen and the, I'll remove the picture, yes,

to be more comprehensive, this is the splenocolic ligament,

it connects the lower pole of the spleen to the splenic flexure.

actually it may contain, as we said, a polar vessel so take care while dissecting here and also

when you are performing a left hemicolectomy you are also incising this ligament to mobilize the colon

actually also traction in this direction may cause avulsion of the capsule of the spleen

and may cause a marked bleeding so take care while performing traction in this area Perisplenic ligament,

actually it's not obvious in this diagram It's here, behind the gastrosplenic ligament

Number 1 is gastrosplenic and number 7 is perisplenic fold

And at last the phrenicocolic ligament Actually the phrenicocolic ligament is

not attached to the spleen at all It's between the splenic flexure and the diaphragm

It's the junction between the mid gut

and the hind gut here in this part it's keeping the splenic flexure hanging in this side

but it's important because importance because it our relation to the spleen

because it directs the spleen in this direction when it's

when it is enlarging actually it can be called the splenic floor the spleen is resting on this ligament and

when the spleen is enlarged it will be enlarged this way

not downward the downward enlargement is blocked by the phrenicocolic ligament

so the enlarged spleen can reach up to the amperlichus

and the mid abdomen not to the left paracolic gutter another

importance of this ligament it prevents blood from ruptured spleen

or any cause of bleeding in this area from entering the left paracolic gutter

so a traumatic event in this area and the splenic rupture, the blood will be confined to this space,

the left hypochondrium space and not propagating to the left paracolic gutter.

So this is the most important ligament of the spleen,

we will just remember them,

here the gastrosplenic ligament from here it's like triangular oh

i missed okay it's like this a triangular ligament here it contains a short gastric

and the gastric left gastro pleuric here's the line renal ligament

or the spleen renal ligament containing the hilum or the hyalur vessels

and tail of the pancreas here's a splenocolic ligament in the lower pool

100

and there is a splenophenic in the upper pool

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and there is a floor of the spleen

102

which is formed by the colophenic or phrenocolic sorry phrenocolic ligament

103

which directs the spleen in this direction this is the most important ligament regarding the spleen.

104

One last information you should remember.

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that the tail of pancreas lying in this area,

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so careless division in this part may result in pancreatic fistula and it's really a nasty complication to happen,

107

may take a few weeks to month to close down,

108

so really take care when you are incising or dissecting in this area to make sure that the pancreas is safe.

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Thank you for listening and see you in another video.

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Vocabulario y notas de pronunciación para esta lección

Esta lección de conversación se basa en el vídeo “Surgical Anatomy 2”. Las palabras que más se repiten: ligament, spleen, splenic, gastrosplenic, vessel. Este vídeo tiene 109 frases y 1327 palabras para practicar shadowing. La parte hablada dura 10:41. El hablante mantiene un ritmo constante de unas 124 palabras por minuto, cómodo para el shadowing. Solo el 72 % de las palabras está entre las 3.000 más comunes del inglés, por lo que el vocabulario es exigente.

Vocabulario clave de este vídeo

15 palabras del vídeo que vale la pena aprender, con su pronunciación y significado:

Palabra	Pronunciación	Significado
vessel sustantivo	/ˈvɛsəl/	embarcación, barco
tail sustantivo	/ˈteɪ̯l/	cola, rabo
stomach sustantivo	/ˈstʌmək/	estómago
traction sustantivo	/ˈtɹæk.ʃən/	tracción
vascular adjetivo	/ˈvæskjələ/	vascular
connect verbo	/kəˈnɛkt/	conectar, empalmar
encounter verbo	/ɪnˈkaʊntɚ/	encontrar, encontrarse
kidney sustantivo	/ˈkɪdni/	riñón
diagram sustantivo	/ˈdaɪ.ə.ɡɹæm/	diagrama
divide verbo	/dɪˈvaɪd/	desunir, dividir
fold verbo	/ˈfəʊld/	plegar, doblar
polar adjetivo	/ˈpoʊlɚ/	polar
anatomy sustantivo	/əˈnætəmi/	anatomía
vein sustantivo	/veɪn/	vena
bleed verbo	/ˈbliːd/	desangrar

Phrasal verbs que vas a escuchar

Palabra	Pronunciación	Significado
close down verbo	/kləʊzˈdaʊn/	cerrar, clausurar

Gramática en este vídeo

Las estructuras que más usa el hablante, con las palabras exactas del vídeo:

Estructura	En el vídeo
Voz pasiva be + participio pasado — importa lo que ocurre, no quién lo hace	should be excised · are tracked · are reflected
Oraciones de relativo who / which + oración — información extra sobre una persona o cosa	ligaments, which is · ligaments, which are

Pronunciación a tener en cuenta

El hablante usa 3 contracciones y formas reducidas, como doesn't, I'll, we're. Dilas en su forma corta, tal como las oyes.

Los sonidos de “sh” y “zh”: traction /ˈtɹæk.ʃən/, relation /ɹɪˈleɪʃ(ə)n/, junction /ˈd͡ʒʌŋkʃən/, dissection /dɪˈsɛkʃən/, flexure /ˈflɛkʃə(ɹ)/
Palabras largas — cuida el acento: anatomy /əˈnætəmi/, comprehensive /ˌkɑm.pɹəˈhɛn.sɪv/, pancreatic /ˌpæŋ.kɹɪˈæ.tɪk/, triangular /tɹaɪˈæŋ.ɡjə.lɚ/, gastroenteritis /ˌɡæstɹəʊˌɛntəˈɹaɪtəs/

Sonidos difíciles para hispanohablantes:

s + consonante al inicio — sin añadir una “e” delante: stomach /ˈstʌmək/, spleen /spliːn/, splenic /ˈsplinɪk/, sling /ˈslɪŋ/
/v/ — no es /b/: los dientes tocan el labio inferior: vessel /ˈvɛsəl/, vascular /ˈvæskjələ/, divide /dɪˈvaɪd/, vein /veɪn/, comprehensive /ˌkɑm.pɹəˈhɛn.sɪv/
/z/ — sonora, no /s/: excise /əkˈsaɪz/, incise /ɪnˈsaɪz/, downwards /ˈdaʊnwɚdz/, mobilize /ˈməʊbɪlʌɪz/

Cómo practicar con este vídeo

Escucha el vídeo entero una vez sin hablar y anota las palabras que no conoces.
Haz shadowing frase por frase a velocidad normal, repitiendo cada una hasta que tu ritmo coincida con el del hablante.
Grábate y compara con el original, prestando atención a palabras como vessel, tail, stomach.

¿Qué es la Técnica de Shadowing?

Shadowing es una técnica de aprendizaje de idiomas respaldada por la ciencia, desarrollada originalmente para la formación de intérpretes profesionales y popularizada por el políglota Dr. Alexander Arguelles. El método es simple pero poderoso: escuchas audio en inglés nativo y lo repites en voz alta de inmediato, como una sombra que sigue al hablante con solo 1-2 segundos de retraso. A diferencia de la escucha pasiva o los ejercicios de gramática, el shadowing obliga a tu cerebro y músculos de la boca a procesar y reproducir simultáneamente patrones de habla reales. Las investigaciones muestran que mejora significativamente la precisión de la pronunciación, la entonación, el ritmo, el habla conectada, la comprensión auditiva y la fluidez al hablar, convirtiéndola en una de las metodologías más efectivas para la preparación del IELTS Speaking y la comunicación en inglés en el mundo real.

Técnica de shadowing: lee la guía completa paso a paso →

Shadowing Practice: Surgical Anatomy 2 (Spleen) - Learn English Speaking with Video

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