Partial spleen resection with a radiofrequency needle device--a pilot study.
Langenbecks Arch Surg
; 398(3): 449-54, 2013 Mar.
Article
em En
| MEDLINE
| ID: mdl-23385735
ABSTRACT
INTRODUCTION:
Total splenectomy leads to an immunocompromised state, with an increased lifetime risk of infection. The lifetime risk of developing overwhelming postsplenectomy infection is 5 %, with a mortality rate of approximately 50 %. In addition to vaccination and antibiotic prophylaxis, partial splenectomy is believed to improve patient safety.METHODS:
We performed partial splenectomy in seven patients using a radiofrequency (RF) technique with Habib® needles. In seven patients, an open access partial splenectomy was performed. In three patients, a partial splenectomy was performed simultaneously with intraabdominal tumour resection. In two patients, the upper pole of the spleen was removed due to tumours of the spleen. In one patient, a large symptomatic splenic cyst was resected and in another patient, a partial splenectomy was performed due to trauma. RF was applied using Habib® needles (AngioDynamics, Manchester, GA, 31816, USA).RESULTS:
The partial splenectomy procedures were easy and safe in all seven patients. The RF application with the Habib® needles led to primary haemostasis. The blood loss was less than 50 ml in all cases. After a minimum follow-up of 1 year, there were no cases of infections or other adverse events related to the previous partial splenectomy.CONCLUSION:
In our experience, partial splenectomy with Habib® needles is easy to perform and safe for the patient. Thus, radiofrequency resection is a good alternative to total splenectomy in many patients and reduces the risk of postsplenectomy infections.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Esplenectomia
/
Esplenopatias
/
Ablação por Cateter
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Alemanha