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dc.contributor.authorDudi-Venkata, Nagendra Naiduen
dc.contributor.authorHouli, Nezoren
dc.contributor.authorWeinberg, Laurenceen
dc.contributor.authorNikfarjam, Mehrdaden
dc.identifier.citationJournal of Laparoendoscopic & Advanced Surgical Techniques. Part A 2014; 24(7): 502-5en
dc.description.abstractPartial 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.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.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.Laparoscopic partial splenectomy can be performed with monopolar saline-cooled radiofrequency for parenchymal transection and hemostasis in a simple and effective manner.en
dc.titleLaparoscopic partial splenectomy performed by monopolar saline-cooled radiofrequency coagulation.en
dc.typeJournal Articleen
dc.identifier.journaltitleJournal of laparoendoscopic & advanced surgical techniques. Part Aen
dc.identifier.affiliationDepartment of Surgery, University of Melbourne , Austin Health, Heidelberg, Melbourne, Victoria, Australia .en
dc.type.austinJournal Articleen
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.cerifentitytypePublications- (University of Melbourne)-
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