Efficacy of the electrothermal bipolar vessel sealer in laparoscopic spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein.
BACKGROUND
Laparoscopic spleen-preserving distal pancreatectomy (LSPDP) with conservation of the splenic artery and vein has recently been performed as a minimally invasive surgery to retain splenic function in the treatment of pancreatic diseases. As the branches of the splenic vessels are very delicate, division of these branches increases the risk of bleeding.


METHODS
To overcome this problem, we have used the electrothermal bipolar vessel sealer (EBVS) to divide branches of the splenic vessels in LSPDP while conserving the splenic vessels themselves.


RESULTS
The EBVS reliably provided excellent and safe hemostasis, minimizing the risk of serious blood loss.


CONCLUSIONS
Use of the EBVS is safe and efficient in LSPDP with conservation of the splenic vessels.
Suzuki
O
O
Department of Surgical Oncology, Hokkaido University Graduate School of Medicine, N-15, W-7, Kita-ku, Sapporo, Hokkaido, 060-8648, Japan. onsuzuki@tkeijinkai.gr.jp
Tanaka
E
E
Hirano
S
S
Suzuoki
M
M
Hashida
H
H
Ichimura
T
T
Sagawa
N
N
Shichinohe
T
T
Kondo
S
S
D000368:Aged; D016063:Blood Loss, Surgical / Q000517:prevention & control; D004564:Electrocoagulation / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D007340:Insulinoma / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery; D019106:Postoperative Hemorrhage / Q000517:prevention & control; D013154:Spleen / Q000098:blood supply*; D013157:Splenic Artery / Q000601:surgery*; D013162:Splenic Vein / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*
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