Laparoscopic partial splenic resection.
Twenty domestic pigs with an average weight of 30 kg were subjected to laparoscopic partial splenic resection with the aim of determining the feasibility, reliability, and safety of this procedure. Unlike the human spleen, the pig spleen is perpendicular to the body's long axis, and it is long and slender. The parenchyma was severed through the middle third, where the organ is thickest. An 18-mm trocar with a 60-mm Endopath linear cutter was used for the resection. The tissue was removed with a 33-mm trocar. The operation was successfully concluded in all animals. No capsule tears occurred as a result of applying the stapler. Optimal hemostasis was achieved on the resected edges in all animals. Although these findings cannot be extended to human surgery without reservations, we suggest that diagnostic partial resection and minor cyst resections are ideal initial indications for this minimally invasive approach.
Uranüs
S
S
Department of Surgery, Karl-Franzens University, Graz, Austria.
Pfeifer
J
J
Schauer
C
C
Kronberger
L
L
Rabl
H
H
Ranftl
G
G
Hauser
H
H
Bahadori
K
K
D000818:Animals; D005240:Feasibility Studies; D010535:Laparoscopy / Q000379:methods*; D013156:Splenectomy / Q000379:methods*; D017792:Surgical Stapling / Q000379:methods; D013552:Swine