Journal article

Laparoscopic Partial Splenectomy Performed by Monopolar Saline-Cooled Radiofrequency Coagulation

Nagendra Naidu Dudi-Venkata, Nezor Houli, Laurence Weinberg, Mehrdad Nikfarjam

Journal of Laparoendoscopic and Advanced Surgical Techniques | MARY ANN LIEBERT, INC | Published : 2014

Abstract

BACKGROUND: Partial splenectomy is preferred to total splenectomy when possible to reduce the risk of life-threatening infection. Several techniques have been described, each with its merits. Laparoscopic transection with monopolar saline-cooled radiofrequency coagulation has not been previously described. PATIENTS AND METHODS: Two patients with enlarging cystic splenic lesions consented to laparoscopic partial splenectomy. In 1 case, high-power saline-cooled monopolar radiofrequency transection was performed with a laparoscopic sealing hook; the procedure was performed with a rigid resectoscope and ball diathermy in the other. RESULTS: Both cases were performed without complications. Transe..

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