title: Radiofrequency-assisted partial splenectomy with a new and simple device.
abstract: BACKGROUND
  Although partial splenectomy is preferable to total splenectomy for maintaining an immune response, several techniques by which splenic parenchyma were divided in partial splenectomy have been controversial.
  
  
  METHODS
  Partial splenectomy using a new and simple device that irradiates radiofrequency combined with saline irrigation was performed successfully for a 19-year-old man with a large splenic cyst. Splenic parenchyma coagulated along the cutting line by the device was divided using an ultrasonic dissector.
  
  
  RESULTS
  The surgical field was virtually bloodless during the parenchymal transection. Blood loss during the surgery was 50 mL without transfusion and the other hemostatic procedures and transection time was 10 minutes. The patient's postoperative course was uneventful and he was discharged home with a perfused spleen on postcontrast computed tomography.
  
  
  CONCLUSIONS
  The radiofrequency-assisted technique allows partial splenectomy as a safe and virtually bloodless alternative to total splenectomy for selected patients.
authors.affiliation: Department of Surgery, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Science, Hiroshima University, Minami-Ku, Japan. titamoto@hiroshima-u.ac.jp
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Itamoto
authors.forename: Saburo
authors.initials: S
authors.lastname: Fukuda
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Tashiro
authors.forename: Hideki
authors.initials: H
authors.lastname: Ohdan
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Asahara
mesh_terms: D000328:Adult; D017115:Catheter Ablation / Q000295:instrumentation*; D003560:Cysts / Q000000981:diagnostic imaging / Q000601:surgery*; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013156:Splenectomy / Q000379:methods*; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed