Laparoscopic partial splenectomy using radiofrequency ablation

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Andrew A GumbsBrice Gayet

Abstract

Epidermoid cysts are believed to be congenital in origin and often present in the pediatric population. Because of the concerns of compromised immunologic function after total splenectomy and increasing demand for minimally invasive approaches, interest has increased in performing the partial splenectomy in this patient population by laparoscopic techniques. Nonetheless, concerns for adequate hemostasis have limited its widespread adoption. Because radiofrequency ablation for the partial splenectomy has been done in a laparoscopic porcine model with good results, we used this technology with the goal of limiting blood loss and postoperative hemorrhagic complications. A 25-year-old female presented with complaints of right shoulder pain. Abdominal ultrasound and a computed tomography (CT) scan revealed a 10-cm cystic lesion of the spleen. Serology was negative for hydatid cyst pathology. The patient underwent an uneventful partial splenectomy by minimally invasive techniques with the aid of a laparoscopic radiofrequency ablative device and the placement of a hemostatic medicated sponge along the line of transection. Estimated blood loss was less than 30 mL. Final pathology was consistent with an epidermoid splenic cyst, and the ...Continue Reading

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Citations

May 2, 2009·Annals of Surgical Oncology·Andrew A GumbsOwen A O'Connor
Oct 16, 2009·Cases Journal·Avdyl S KrasniqiLumturije H Gashi-Luci
Aug 5, 2010·Langenbeck's Archives of Surgery·Maciej PatrzykClaus Dieter Heidecke
Feb 7, 2013·Langenbeck's Archives of Surgery·Juliane LieseFrank Ulrich
Jul 19, 2013·The Journal of Surgical Research·Yi LiMin Li
Oct 27, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Tae Ho HongJun Gi Kim
Jan 14, 2020·Journal of Minimal Access Surgery·Qiyi ZhangSheng Yan
Jun 14, 2018·Annals of Hepato-biliary-pancreatic Surgery·Francesco EspositoFrancesco Crafa
Mar 26, 2015·World Journal of Gastroenterology : WJG·Wei-Dong WangXiao-Wu Chen
Feb 16, 2019·World Journal of Surgery·Gangshan Liu, Ying Fan
Jan 21, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Andrea RomboliRenato Costi

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