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Surg Case Rep. 2016 Dec;2(1):82. doi: 10.1186/s40792-016-0206-x. Epub 2016 Aug 24.

Laparoscopic partial splenectomy for giant cyst using a radiofrequency-assisted device: a case report.

Author information

1
Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Parc de Recerca Biomèdica de Barcelona Doctor Aiguader 88, Barcelona, 08003, Spain. rita.quesada@upf.edu.
2
Unit of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, Hospital del Mar, Barcelona, Spain.
3
Department of Pathology, Hospital del Mar, Barcelona, Spain.
4
Biomedical Synergy, Electronic Engineering Department, Universitat Politècnica de València, Valencia, Spain.

Abstract

BACKGROUND:

Although radiofrequency-assisted devices have sometimes been used in partial splenectomy, this is not a common technique. This report describes the first case of laparoscopic partial splenectomy using an RF-assisted device (Coolinside) which allows both coagulation and transection of the parenchyma and eventually the protective coagulation of the remnant side.

CASE PRESENTATION:

A 27-year-old woman was found to have a giant hydatic cyst measuring 12.0 × 14.0 × 16.6 cm that mainly occupied the lower pole of the spleen and retroperitoneal space. The patient underwent a laparoscopic partial splenectomy using an RF-based device designed to accomplish both the coagulation and dissection of the splenic tissue. The estimated blood loss was less than 200 mL.

CONCLUSIONS:

Even though RF ablation has traditionally been used for hepatic parenchymal transection, it seems equally suited to partial splenectomy. This device seems to provide good results, minimizing blood loss during partial splenectomy; however, randomized trials will be necessary to see if the results are superior to those of other techniques.

KEYWORDS:

Giant splenic cyst; Laparoscopic splenectomy; Radiofrequency

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