Partial splenectomy using a laparoscopic bipolar radiofrequency device: A case report

Wang, Weidong; Lin, Jie; Wu, Zhiqiang; Liu, Qingbo; Ma, Jing; Chen, Xiaowu

doi:10.3748/wjg.v21.i11.3420

Cited by 11 publications

(8 citation statements)

References 17 publications

(17 reference statements)

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“…Forty‐nine publications were selected for review of full text and three duplicate publications, one article undergone LPS for pigs not human, and eight articles that we could not get detailed data were excluded from our review. Forty‐four [5, 6, 11–52] with a total of 252 patients undergoing LPS or LSS met the criteria for analysis. These included four case‐matched comparative studies.…”

Section: Resultsmentioning

confidence: 99%

“…The most common indications in these series were splenic cystic lesions( n = 84) [5, 6, 12–30, 51, 52], followed by splenic hematological diseases ( n = 70) [5, 6, 21, 24, 31, 33–35], non‐cystic intraparenchymal lesions ( n = 59) [5, 6, 20–24, 36–44, 50, 52], spleen rupture ( n = 22) [11, 45], splenomegaly of unknown origin ( n = 9) [5], splenic abscess ( n = 3) [23, 42, 49], severe splenic pain due to ischemia provoked by vascular obstruction of the spleen ( n = 2) [47], and each for Gandy–Gamna bodies, Benign metaplasia, and undiagnosed splenic lesion [22, 48]. The most common surgical procedures performed in these series were four‐trocar laparoscopic splenectomy ( n = 117) [14, 16–18, 20, 22–24, 28, 30, 31, 35, 38, 39, 42, 43, 45, 47, 48, 50, 51], followed by three‐trocar laparoscopic splenectomy ( n = 53) [5, 15, 19, 21,...…”

Section: Resultsmentioning

confidence: 99%

“…The range of operative times of LPS (including combination operation) procedure was 50–225 min ( n = 37 studies) [5, 6, 11–14, 16–18, 20–26, 28, 29, 31–36, 38–46, 48–52]. The range of estimated blood loss (EBL) was 0–1200 ml ( n = 39 studies) [6, 11–18, 20–26, 28–36, 38–46, 48–52]. There are eight patients need blood transfusion in 231 patients with available data (except Li et al [45] with no available data which contained 21 patients diagnosed with splenic rupture).…”

Section: Resultsmentioning

confidence: 99%

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Feasibility and Safety of Laparoscopic Partial Splenectomy: A Systematic Review

Liu

Fan

2019

World j. surg.

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Background Laparoscopic partial splenectomy (LPS) is a challenging procedure. The aim of this review was to evaluate its feasibility, safety, and potential benefits. Methods We conducted a comprehensive review for the years 1995-2018 to retrieve all relevant articles. Results A total of 44 studies with 252 patients undergoing LPS were reviewed. Six studies described combined operations. Ranges of operative time and estimated blood loss were 50-225 min and 0-1200 ml, respectively. There are eight patients need blood transfusion in 231 patients with available data. The conversion rate was 3.6% (9/252). Overall, 27 patients (10.7%;27/252) developed postoperative or intraoperative complications. Overall mortality was 0% (0/252). The length of postoperative stay (POS) varied (1-11 days). Among four comparative studies, one showed LPS could reduce POS than laparoscopic total splenectomy (LTS) (LTS 5.4 ± 1.8 days, LPS 4.2 ± 0.8 days, p = 0.027) and complications (pleural effusion (LTS 9/22, LPS 0/15, p = 0.005), splenic vein thrombosis (LTS 10/22, LPS 0/15, p = 0.002)). Another comparative study showed LPS may benefit emergency patients. However, one comparative study showed LPS was associated with more pain, longer time to oral intake, and longer POS in children with hereditary spherocytosis. The fourth comparative study showed robotic subtotal splenectomy was comparable to laparoscopy in terms of POS and complication. The main benefits were lower blood loss, vascular dissection time, and a better evaluation of splenic remnant volume. Conclusions In early series of highly selected patients, LPS appears to be feasible and safe when performed by experienced laparoscopic surgeons.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Feasibility and Safety of Laparoscopic Partial Splenectomy: A Systematic Review

Liu

Fan

2019

World j. surg.

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“…Recientemente, se ha reportado el tratamiento quirúrgico conservador exitoso en algunos pacientes seleccionados, a quienes se les ha practicado resecciones parciales por vía abierta y por vía laparoscópica [50][51][52][53][54] .…”

Section: Esplenectomíaunclassified

Absceso esplénico: ¿drenaje percutáneo o esplenectomía?

2016

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El absceso esplénico es una entidad poco común, su incidencia es de 0,2 a 0,7 %. El trabajo diagnóstico temprano y el tratamiento oportuno han permitido un mayor número de resultados exitosos. El tratamiento convencional ha sido la esplenectomía; sin embargo, por la importancia inmunológica del bazo y la morbimortalidad del tratamiento quirúrgico, hay una tendencia al tratamiento médico y de menor invasión. En este artículo se presenta una revisión narrativa del problema con base en la literatura médica con mayor ‘evidencia’, se discuten las diferentes alternativas de tratamiento y se concluye que el tratamiento debe individualizarse a cada paciente. El drenaje percutáneo es la primera línea de tratamiento; si este fracasa, debe considerarse la esplenectomía. Aunque con tiempos quirúrgicos más prolongados, la esplenectomía laparoscópica se asocia con una reducción significativa de la morbilidad posquirúrgica.

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“…Some techniques were described for splenic parenchymal transection, including ultrasonic dissectors, LigaSure (Covidien, USA), endovascular stapling and radiofrequency ablative. [ 6 7 ] Each technique has its potential advantages, but there is no solid evidence that one technique is better than the other for LPS. The objective of the present study is to explore the feasibility and safety of pre-coagulation of a 915 MHz microwave (MW) in LPS.…”

Section: Introductionmentioning

confidence: 99%

915 MHz microwave-assisted laparoscopic partial splenectomy: A case series

et al. 2020

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Background: Haemorrhage during the splenic parenchyma transection is a major threat for laparoscopic partial splenectomy (LPS). We here aim to evaluate the feasibility and safety of pre-coagulation of a 915 MHz microwave (MW) device during LPS. Materials and Methods: Data of four patients admitted to our hospital between November 2016 and July 2018 were retrospectively analysed. The mean age was 24 years (range, 19–33); they all diagnosed with splenic unifocal lesion with a mean diameter of 4.6 cm (ranged from 3.7 to 6 cm) and underwent LPS with pre-coagulation of a 915 MHz MW. Results: The LPS with pre-coagulation was successfully resulted in complete resection without microscopic residual tumour (R0 resection). The mean operative time was 205 min, and the minimum blood loss was at the range of 30–50 ml. No complication was observed, and the length of stay in hospital was varied from 5 to 10 days. Conclusion: Based on our observation, pre-coagulation of a 915 MHz MW during LPS is a safe and efficient technique. More studies are required before applying extensively.

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Partial splenectomy using a laparoscopic bipolar radiofrequency device: A case report

Cited by 11 publications

References 17 publications

Feasibility and Safety of Laparoscopic Partial Splenectomy: A Systematic Review

Feasibility and Safety of Laparoscopic Partial Splenectomy: A Systematic Review

Absceso esplénico: ¿drenaje percutáneo o esplenectomía?

915 MHz microwave-assisted laparoscopic partial splenectomy: A case series

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