How we do a bloodless partial splenectomy.
Partial splenectomy and Tru-cut biopsy are not routinely practiced because of the lack of vascular control to arrest bleeding. Using radiofrequency energy to coagulate the resection margin and biopsy tract, a 74-year-old woman with a tumor in the lower pole of the spleen underwent partial splenectomy and Tru-Cut biopsy of the spleen. Hemostasis was excellent. Blood loss was minimal and the patient was discharged with a functioning spleen. This new technique may allow safe and bloodless partial splenic resection and Tru-cut biopsy of the spleen, which might reduce the number of splenectomies performed and the consequent difficulties for the patient that can arise.
Habib
Nagy A
NA
Department of Gastrointestinal Surgery, Hammersmith Hospitals NHS Trust, Du Cane Rd., London W12 0HS, United Kingdom. nagy.habib@ic.ac.uk
Spalding
Duncan
D
Navarra
Giuseppe
G
Nicholls
Joanna
J
D000368:Aged; D006801:Humans; D008297:Male; D013156:Splenectomy / Q000379:methods*; D013160:Splenic Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D014057:Tomography, X-Ray Computed