Partial splenic resection using the TA-stapler.
Since 1987, we have used the TA-stapler for 15 partial resections of the spleen. The cases included 5 second- to third-degree traumatic ruptures, 4 splenic cysts, 3 injuries resulting from accidents during upper-abdominal surgery, 2 diagnostic resections, and 1 intralienal pancreatic cyst. The TA-55 stapler was used 14 times and the TA-90 once. No patient developed postoperative bleeding or required further surgery. Postoperative laboratory chemistry and scintigraphy findings were within the limits indicative of normal function in all cases. The TA-stapler expands the technical possibilities for organ-conserving splenic surgery.
Department of Surgery, University Surgical Clinic, Karl-Franzens University, Graz, Austria.
S
S
Uranüs
L
L
Kronberger
J
J
Kraft-Kine
D000328:Adult; D002648:Child; D003560:Cysts / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007239:Infections / Q000453:epidemiology / Q000209:etiology; D015601:Injury Severity Score; D008875:Middle Aged; D010181:Pancreatic Cyst / Q000453:epidemiology / Q000601:surgery*; D013154:Spleen / Q000293:injuries*; D013156:Splenectomy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods* / Q000401:mortality; D013158:Splenic Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D013161:Splenic Rupture / Q000145:classification / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D013528:Surgical Staplers / Q000145:classification / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000145:classification / Q000150:complications / Q000453:epidemiology