Laparoscopic splenectomy. How to make it easier using an innovative atraumatic suction grasper.
BACKGROUND
With the evolution of laparoscopic surgery comes the need for specific instruments that apply traction to parenchymal tissue, like the spleen, without exposing the organ to the associated high risk of bleeding. To meet this need, we designed and developed a suction-cup grasper that allows easy grasping and manipulation of the spleen. Some of the difficulties usually encountered during laparoscopic splenectomy may be overcome by using this device.


METHODS
The instrument consists of a cone-shaped, silicone rubber suction cup designed with an antislip internal surface. The cup is connected to a support arm with a flexible distal end that can be rotated. Traction is exerted with a commonly available suction system. The device is inserted through a 12-mm-diameter guide sheath.


RESULTS
The two interventions performed with the atraumatic device were completed with laparoscopic technique. No complications arose during or after the operations. The average operating time was 110 min. The patients were discharged after 4 and 5 days postoperative, respectively.


CONCLUSIONS
As a device specifically designed for grasping parenchymal organs, the atraumatic suction grasper affords the operator a faster and safer technique in laparoscopic splenectomy.
Gentilli
S
S
VI Division of General Surgery, Department of Clinical Physiopathology, Ospedale Molinette, University of Turin, Via Genova 3, 10126 Turin, Italy.
Velardocchia
M
M
Ferrero
A
A
Martelli
S
S
Donadio
F
F
D004867:Equipment Design; D006801:Humans; D020706:Laparoscopes; D013156:Splenectomy / Q000379:methods*; D013396:Suction / Q000295:instrumentation