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Journal of Gastrointestinal Surgery

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01-01-2009 | how i do it

Efficacy of the Electrothermal Bipolar Vessel Sealer in Laparoscopic Spleen-Preserving Distal Pancreatectomy with Conservation of the Splenic Artery and Vein

Authors: O. Suzuki, E. Tanaka, S. Hirano, M. Suzuoki, H. Hashida, T. Ichimura, N. Sagawa, T. Shichinohe, S. Kondo

Published in: Journal of Gastrointestinal Surgery | Issue 1/2009

Abstract

Introduction

Laparoscopic spleen-preserving distal pancreatectomy (LSPDP) with conservation of the splenic artery and vein has recently been performed as a minimally invasive surgery to retain splenic function in the treatment of pancreatic diseases. As the branches of the splenic vessels are very delicate, division of these branches increases the risk of bleeding.

Materials and Methods

To overcome this problem, we have used the electrothermal bipolar vessel sealer (EBVS) to divide branches of the splenic vessels in LSPDP while conserving the splenic vessels themselves.

Results

The EBVS reliably provided excellent and safe hemostasis, minimizing the risk of serious blood loss.

Conclusion

Use of the EBVS is safe and efficient in LSPDP with conservation of the splenic vessels.

Takaori K, Tanaigawa N. Laparoscopic pancreatic resection: the past, present, and future. Surg Today 2007;37:535–545. doi:10.1007/s00595-007-3472-1.PubMedCrossRef

Melotti G, Butturini G, Piccoli M, Casetti L, Bassi C, Mullineris B, et al. Laparoscopic distal pancreatectomy: results on a consecutive series of 58 patients. Ann Surg 2007;246:77–82. doi:10.1097/01.sla.0000258607.17194.2b.PubMedCrossRef

Mabrut JY, Fernandez-Cruz L, Azagra JS, Bassi C, Delvaux G, Weerts J, et al. Laparoscopic pancreatic resection: results of a multicenter European study of 127 patients. Surgery 2005;137:597–605. doi:10.1016/j.surg.2005.02.002.PubMedCrossRef

Khanna A, Koniaris LG, Nakeeb A, Schoeniger LO. Laparoscopic spleen-preserving distal pancreatectomy. J Gastrointest Surg 2005;9:733–738. doi:10.1016/j.gassur.2004.07.006.PubMedCrossRef

Gelmini R, Romano F, Quaranta N, Caprotti R, Tazzioli G, Colombo G, et al. Sutureless and stapleless laparoscopic splenectomy using radiofrequency: LigaSure device. Surg Endosc 2006;20:991–994. doi:10.1007/s00464-005-0470-5.PubMedCrossRef

Campagnacci R, Sanctis A, Baldarelli M, Rimini M, Lezoche G, Guerrieri M. Electrothermal bipolar vessel sealing devise vs. ultrasonic coagulating shears in laparoscopic colectomies: a comparative study. Surg Endosc 2007;21:1526–1531. doi:10.1007/s00464-006-9143-2.PubMedCrossRef

Kimura W, Moriya T, Ma J, Kamio Y, Watanabe T, Yano M, et al. Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. World J Gastroenterol 2007;13:1493–1499.PubMed

Benoist S, Dugue L, Sauvanet A, Valverde A, Maurais F, Paye F, et al. Is there a role of preservation of the spleen in distal pancreatectomy? J Am Coll Surg 1999;188:255–260. doi:10.1016/S1072-7515(98)00299-3.PubMedCrossRef

Shoup M, Brennan M, McWhite K, Leung D, Klimstra D, Conlon K. The value of splenic preservation with distal pancreatectomy. Arch Surg 2002;137:164–168. doi:10.1001/archsurg.137.2.164.PubMedCrossRef

10.

Zhang CH, Zhan WH, He YL, Chen C, Huang MJ, Cai SR. Spleen preservation in radical surgery for gastric cardia cancer. Ann Surg Oncol 2007;14:1312–1319. doi:10.1245/s10434-006-9190-x.PubMedCrossRef

11.

Kaneko H, Takagi S, Joubara N, Yamazaki K, Kubota Y, Tsuchiya M, et al. Laparoscopy-assisted spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. J Hepatobiliary Pancreat Surg 2004;11:397–401. doi:10.1007/s00534-004-0916-5.PubMedCrossRef

Title: Efficacy of the Electrothermal Bipolar Vessel Sealer in Laparoscopic Spleen-Preserving Distal Pancreatectomy with Conservation of the Splenic Artery and Vein
Authors: O. Suzuki
E. Tanaka
S. Hirano
M. Suzuoki
H. Hashida
T. Ichimura
N. Sagawa
T. Shichinohe
S. Kondo
Publication date: 01-01-2009
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 1/2009
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-008-0676-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Efficacy of the Electrothermal Bipolar Vessel Sealer in Laparoscopic Spleen-Preserving Distal Pancreatectomy with Conservation of the Splenic Artery and Vein

Abstract

Introduction

Materials and Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and Methods

Results

Conclusion

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