PMID: 11912521Mar 26, 2002Paper

Ultrasonic shear coagulation of main hilar vessels: A 4-year experience of 23 pediatric laparoscopic splenectomies without staples

Journal of Pediatric Surgery
Klaus SchaarschmidtAmulya Saxena

Abstract

Ultrasonic shears (LCS) are used increasingly for laparoscopic splenectomy. So far however, all investigators use vascular staplers or clips for section of the main splenic artery and vein. After several trials the authors started to use the ultrasonic triple welding technique in open surgery to occlude major vessels of 5 to 8 mm by 10-mm LCS. In June 1997 the authors introduced triple welding into laparoscopic splenectomy to mobilize the complete spleen by LCS. There was no hemorrhage in 23 laparoscopic splenectomies performed exclusively by LCS and no complications except 1 port site hernia. Laparoscopic splenectomy entirely by reusable LCS without clips and stapler is a safe, simple, and inexpensive technique. Moreover, the policy of "leaving nothing back" is an attractive strategy in endoscopic pediatric surgery.

Citations

Apr 30, 2003·World Journal of Gastroenterology : WJG·Min TanZhen-Xian Zhao
Nov 22, 2007·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Rahsan VargünAydin Yagmurlu
Aug 24, 2005·Veterinary Surgery : VS·Loretta J BubenikSunil C Vasanjee
Dec 27, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Fabrizio RomanoMassimo Saviano
May 15, 2012·Surgical Endoscopy·Francesco CorcioneAntonio Sciuto
Sep 21, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Camila Girardi FachinAndré I B S Dias
Oct 16, 2008·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Cemalettin AydinVedat Kirimlioglu

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