Pratique du Shadowing: Splenectomy: step-by-step - Apprendre l'anglais à l'oral avec la vidéo

Hello and welcome to the GYO surgery series.

This will be the first of several different explanations of individual surgeries that we perform in Gynonk,

including some photos that I'll have referenced, as well as some handmade drawings.

the first surgery that we'll be going over is the splenectomy

and I only own the drawings other pictures will be referenced on individual slides

and at the end this is for educational purposes only this is not intended to be medical advice

so reference this lovely picture on the right the removal of

the spleen is occasionally required to achieve optimal surgical cytoreduction in ovarian cancer

and so knowing the relevant anatomy is important and

so we'll go over the ligaments attaching to the spleen as well as the blood supply to the spleen

so there are approximately five ligaments the splenophrenic ligament the splenorenal the pancreaticosplenic,

the splenocolic, and the gastrosplenic ligaments.

They are labeled here, 1 through 4.

We have 1, 2, 3, 4, splenofrenic, which you can't see,

but the diaphragm would be up here, the splenorenal, the pancreaticosplenic, the splenocolic, and then over here we have the gastrosplenic.

Each of these ligaments are transected during a splenectomy.

And then as far as our blood supply goes, it's a little bit easier.

You just have the splenic artery and the splenic vein.

As you can see here, these come off the celiac trunk.

The artery comes off the celiac trunk, and the celiac trunk, as you may remember, is the splenic artery, the left gastric,

and the common hepatic, and then the splenic vein coming back into the portal vein.

the basic steps of a splenectomy are entering the lesser sac mobilizing the spleen

and then ligating the vessels

which sounds very easy however in practice is definitely scary for gynonks there is an anterior

or posterior approach

and the choice depends on the distribution of disease whatever approach would be easier based on disease

and i will be going over the anterior your approach in this short lecture.

So first entering the lesser sac of the omentum, you want to identify the gastrocolic ligament.

This lies between the stomach's greater curvature and the transverse colon.

The anterior leaf of the omentum attaches to the greater curvature of the stomach via the gastrocolic ligament, and the posterior leaf attaches to the margin of the transverse colon.

And the lesser sac is kind of between these two leaves.

So identifying the ligament and then transecting this in order to open the lesser sac.

The dissection, then this is another depiction of opening the lesser sac, but the omentum is no longer there.

And as you can see here, this is the gastrocolic ligament here.

The dissection continues along the transverse colon with mobilization of the

entire splenic flexure of the colon to eventually reach the splenocolic ligament,

highlighted here, and then you're also dissecting upward to the greater curvature of the stomach towards the gastrosplenic ligament.

That's here.

once mobilized you can grasp the spleen

and elevate it medially this will expose the splenophrenic ligament here

and you can continue to dissect the spleen from the gastrosplenic ligament as well as the splenocolic ligament

so you can see the gastrosplenic ligament in this picture as well as the splenocolic ligament here you'll continue dissecting

that and then also the splenofrenic ligament, with this being the diaphragm.

The gastrosplenic ligament is the most vascular and contains those short gastric arteries, so we are very careful in ligating and dividing these.

And then finally, the spleen is elevated to the incision.

You do some blunt dissection in order to identify the splenic artery and the splenic vein.

Each one of these vessels are individually ligated and the artery is ligated first in order to prevent engorgement of the spleen.

You can use, as depicted here, a right angle placed underneath the artery or individual

vein artery or vascular pedicle

and you can use a 2 -0 silk you will then place a second 2 -0 silk

and then on the proximal end you can either tie

or clip this end and then divide the artery vein

or other vascular pedicle and then

if you're done with the artery you do the vein and that is the end of the splinectomy.

✨ Vidéo recommandée

109 phrases

How to Avoid Common Mistakes During Insertion in Colonoscopy (Using the Olympus CM-15 Colon Phantom)

University StudentsWorking Adults

40 phrases

Hernia Repair Inguinal (Open) Surgery Patient Education

University StudentsWorking Adults

Vocabulaire et conseils d’expression pour cette leçon

Cette leçon d’expression orale s’appuie sur la vidéo « Splenectomy: step-by-step ». Les mots qui reviennent le plus souvent : ligament, artery, spleen, splenic, vein. Cette vidéo contient 54 phrases et 709 mots à répéter en shadowing. La partie parlée dure 5:25. Le locuteur parle à un rythme régulier d’environ 131 mots par minute, confortable pour le shadowing. Seuls 72 % des mots font partie des 3 000 mots les plus courants en anglais, le vocabulaire est donc exigeant.

Vocabulaire clé de cette vidéo

15 mots de la vidéo à retenir, avec leur prononciation et leur sens :

Mot	Prononciation	Sens
artery nom	/ˈɑɹ.təɹ.i/	artère
vein nom	/veɪn/	veine
lesser adjectif	/ˈlɛsɚ/	moindre
colon nom	/ˈkoʊ.lən/	deux points
leaf nom	/lif/	feuille
trunk nom	/tɹʌŋk/	tronc
attach verbe	/əˈtæt͡ʃ/	attacher
anterior adjectif	/ænˈtɪɹ.i.ɚ/	antérieur
vascular adjectif	/ˈvæskjələ/	vasculaire
stomach nom	/ˈstʌmək/	estomac
vessel nom	/ˈvɛsəl/	vaisseau
divide verbe	/dɪˈvaɪd/	diviser, fendre
silk nom	/sɪlk/	soie
explanation nom	/ˌɛkspləˈneɪʃən/	explication
label nom	/ˈleɪ.bəl/	étiquette, libellé

Les verbes à particule que vous entendrez

Mot	Sens
come off verbe	se détacher, se décoller

Prononciation à surveiller

Le locuteur utilise 7 contractions et formes réduites, comme we'll, you're, can't. Prononcez-les sous leur forme courte, telles que vous les entendez.

Les sons « sh » et « zh »: explanation /ˌɛkspləˈneɪʃən/, occasionally /əˈkeɪʒənəli/, dissection /dɪˈsɛkʃən/, depiction /dɪˈpɪkʃən/, flexure /ˈflɛkʃə(ɹ)/
Mots longs — placez bien l’accent: anterior /ænˈtɪɹ.i.ɚ/, explanation /ˌɛkspləˈneɪʃən/, occasionally /əˈkeɪʒənəli/, anatomy /əˈnætəmi/, individually /ˌɪndɪˈvɪd͡ʒ(u)əli/

Les sons difficiles pour les francophones :

/h/ — il se souffle, il n’est pas muet: highlight /ˈhaɪˌlaɪt/, handmade /ˈhændˌmeɪd/, hepatic /həˈpætɪk/
/tʃ/ et /dʒ/ — à ne pas adoucir en « ch » et « j »: attach /əˈtæt͡ʃ/, margin /ˈmɑɹ.d͡ʒɪn/, lecture /ˈlɛk.t͡ʃə/, surgical /ˈsɝd͡ʒɪkəl/, individually /ˌɪndɪˈvɪd͡ʒ(u)əli/
/r/ anglais — langue recourbée, sans frotter la gorge: artery /ˈɑɹ.təɹ.i/, trunk /tɹʌŋk/, anterior /ænˈtɪɹ.i.ɚ/, scary /ˈskɛə.ɹi/, removal /ɹɪˈmuː.vəl/

Comment s’entraîner avec cette vidéo

Écoutez la vidéo en entier une fois sans parler et notez les mots que vous ne connaissez pas.
Répétez phrase par phrase à vitesse normale, en reprenant chacune jusqu’à ce que votre rythme corresponde à celui du locuteur.
Enregistrez-vous et comparez avec l’original, en faisant attention à des mots comme artery, vein, lesser.

Qu'est-ce que la technique du Shadowing ?

Le Shadowing est une technique d'apprentissage des langues fondée sur la science, développée à l'origine pour la formation des interprètes professionnels. Le principe est simple mais puissant : vous écoutez de l'anglais natif et le répétez immédiatement à voix haute — comme une ombre suivant le locuteur avec un décalage de 1 à 2 secondes. Les recherches montrent une amélioration significative de la précision de la prononciation, de l'intonation, du rythme, des liaisons, de la compréhension orale et de la fluidité.

Technique du shadowing : lire le guide complet étape par étape →

Pratique du Shadowing: Splenectomy: step-by-step - Apprendre l'anglais à l'oral avec la vidéo

Surgical Anatomy 2 (Spleen)

25 Brutal Truths a Breast Surgeon Learned about Breast Cancer

Whipple Procedure: Why and How the Surgery Is Performed

SVINutes: Super Large Bore Thrombectomy

Cat Spay Surgery (Flank Approach) | Step-By-Step Guide

Anterior Cervical Diskectomy & Fusion

Grey's Anatomy - Medical Jargon Blitz

FAST Scan (Focused Assessment with Sonography in Trauma) - STEP by STEP

Gynaecological Examination

Endoscopic Ultrasound (EUS) Procedure | Cincinnati Children's