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Surgical Endoscopy
Published in: Surgical Endoscopy 6/2006

01-06-2006 | Original Article

Sutureless and stapleless laparoscopic splenectomy using radiofrequency

LigaSure device

Authors: R. Gelmini, F. Romano, N. Quaranta, R. Caprotti, G. Tazzioli, G. Colombo, M. Saviano, F. Uggeri

Published in: Surgical Endoscopy | Issue 6/2006

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Abstract

Background

Bleeding is the main complication and cause of conversion during laparoscopic splenectomy (LS). We present the advantages of the LigaSure vessel sealing system added to the lateral approach for achieving safe vascular control.

Methods

We performed 63 consecutive LS in a 3-year period using LigaSure in two affiliated university hospitals. We employed a right semilateral position technique with dissection of the spleen and vessel sealing using LigaSure. Forty-two patients had benign hematological disease, 19 had malignant disease, and two had splenic cysts.

Results

A total of 58 LS were completed with five conversions due to hilar bleeding (three cases), difficult dissection (one), and massive splenomegaly (one). In all but five patients, blood loss was less than 100 ml. No transfusions were needed. There were five postoperative complications: portal thrombosis (one case), hemoperitoneum (two), surgical wound infection (one), and pleural effusion (one).

Conclusions

The use of LigaSure, and the semilateral position, results in a gain of time and safety. Furthermore, average intraoperative bleeding is very low.
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Metadata
Title
Sutureless and stapleless laparoscopic splenectomy using radiofrequency
LigaSure device
Authors
R. Gelmini
F. Romano
N. Quaranta
R. Caprotti
G. Tazzioli
G. Colombo
M. Saviano
F. Uggeri
Publication date
01-06-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 6/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0470-5

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