title: Efficacy of the electrothermal bipolar vessel sealer in laparoscopic spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein.
abstract: 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.
authors.affiliation: 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
authors.forename: O
authors.initials: O
authors.lastname: Suzuki
authors.forename: E
authors.initials: E
authors.lastname: Tanaka
authors.forename: S
authors.initials: S
authors.lastname: Hirano
authors.forename: M
authors.initials: M
authors.lastname: Suzuoki
authors.forename: H
authors.initials: H
authors.lastname: Hashida
authors.forename: T
authors.initials: T
authors.lastname: Ichimura
authors.forename: N
authors.initials: N
authors.lastname: Sagawa
authors.forename: T
authors.initials: T
authors.lastname: Shichinohe
authors.forename: S
authors.initials: S
authors.lastname: Kondo
mesh_terms: 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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