title: Laparoscopic partial splenectomy performed by monopolar saline-cooled radiofrequency coagulation.
abstract: BACKGROUND
  Partial splenectomy is preferred to total splenectomy when possible to reduce the risk of life-threatening infection. Several techniques have been described, each with its merits. Laparoscopic transection with monopolar saline-cooled radiofrequency coagulation has not been previously described.
  
  
  METHODS
  Two patients with enlarging cystic splenic lesions consented to laparoscopic partial splenectomy. In 1 case, high-power saline-cooled monopolar radiofrequency transection was performed with a laparoscopic sealing hook; the procedure was performed with a rigid resectoscope and ball diathermy in the other.
  
  
  RESULTS
  Both cases were performed without complications. Transection with the resectoscope and ball diathermy was combined with selective clamping of the splenic hilar vessels and was performed in 100 minutes with estimated blood loss of 250 mL. Transection with the sealing hook was performed in 80 minutes without hilar vessel clamping, with an estimated blood loss of 100 mL. No additional hemostatic agents were required for either case.
  
  
  CONCLUSIONS
  Laparoscopic partial splenectomy can be performed with monopolar saline-cooled radiofrequency for parenchymal transection and hemostasis in a simple and effective manner.
authors.affiliation: 1 Department of Surgery, University of Melbourne , Austin Health, Heidelberg, Melbourne, Victoria, Australia .
authors.forename: Nagendra Naidu
authors.initials: NN
authors.lastname: Dudi-Venkata
authors.forename: Nezor
authors.initials: N
authors.lastname: Houli
authors.forename: Laurence
authors.initials: L
authors.lastname: Weinberg
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Nikfarjam
mesh_terms: D003560:Cysts / Q000601:surgery; D003972:Diathermy; D005260:Female; D006487:Hemostasis; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007239:Infections / Q000628:therapy; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012965:Sodium Chloride / Q000737:chemistry; D013154:Spleen / Q000601:surgery*; D013156:Splenectomy / Q000379:methods*; D013158:Splenic Diseases / Q000601:surgery*; D013514:Surgical Procedures, Operative; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D012965:Sodium Chloride