Karadayi Kursat, Turan Mustafa, Sen Metin
Department of General Surgery, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey.
Surg Laparosc Endosc Percutan Tech. 2011 Oct;21(5):358-61. doi: 10.1097/SLE.0b013e31822f3889.
The advantage of partial splenectomy is the preservation of its immunologic function. In this series, 8 patients underwent a spleen preservation procedure with radiofrequency. Four of the partial splenectomy procedures were performed in elective situations, whereas the other 4 cases were performed to control traumatic bleeding in emergency situations. A harrow-like radiofrequency probe with 6 needles was applied to the spleen, and the division of the splenic parenchyma was completed using a surgical scalpel through the midline of the ablated tissue. This safe, fast, and simple technique allows for preservation of splenic function with minimum blood loss.
部分脾切除术的优点是保留其免疫功能。在本系列研究中,8例患者接受了射频脾脏保留手术。其中4例部分脾切除术是在择期情况下进行的,而另外4例则是在紧急情况下用于控制外伤性出血。将带有6根针的耙状射频探头应用于脾脏,然后通过手术刀片沿消融组织的中线完成脾实质的分割。这种安全、快速且简单的技术能够以最少的失血量保留脾脏功能。