使用射频辅助设备行腹腔镜下巨大囊肿脾部分切除术：1例病例报告
Laparoscopic partial splenectomy for giant cyst using a radiofrequency-assisted device: a case report.
作者信息
Quesada R, Poves I, Iglesias M, Berjano E, Grande L, Burdío F
机构信息
Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Parc de Recerca Biomèdica de Barcelona Doctor Aiguader 88, Barcelona, 08003, Spain.
Unit of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, Hospital del Mar, Barcelona, Spain.
出版信息
Surg Case Rep. 2016 Dec;2(1):82. doi: 10.1186/s40792-016-0206-x. Epub 2016 Aug 24.
BACKGROUND
Although radiofrequency-assisted devices have sometimes been used in partial splenectomy, this is not a common technique. This report describes the first case of laparoscopic partial splenectomy using an RF-assisted device (Coolinside) which allows both coagulation and transection of the parenchyma and eventually the protective coagulation of the remnant side.
CASE PRESENTATION
A 27-year-old woman was found to have a giant hydatic cyst measuring 12.0 × 14.0 × 16.6 cm that mainly occupied the lower pole of the spleen and retroperitoneal space. The patient underwent a laparoscopic partial splenectomy using an RF-based device designed to accomplish both the coagulation and dissection of the splenic tissue. The estimated blood loss was less than 200 mL.
CONCLUSIONS
Even though RF ablation has traditionally been used for hepatic parenchymal transection, it seems equally suited to partial splenectomy. This device seems to provide good results, minimizing blood loss during partial splenectomy; however, randomized trials will be necessary to see if the results are superior to those of other techniques.
背景
尽管射频辅助设备有时用于部分脾切除术，但这并非常见技术。本报告描述了首例使用射频辅助设备（Coolinside）进行腹腔镜部分脾切除术的病例，该设备可实现脾实质的凝血和横断，并最终对残端进行保护性凝血。
病例介绍
一名27岁女性被发现有一个巨大的肝包虫囊肿，大小为12.0×14.0×16.6厘米，主要占据脾脏下极和腹膜后间隙。患者接受了使用基于射频的设备进行的腹腔镜部分脾切除术，该设备旨在完成脾组织的凝血和解剖。估计失血量少于200毫升。
结论
尽管传统上射频消融用于肝实质横断，但它似乎同样适用于部分脾切除术。该设备似乎能取得良好效果，使部分脾切除术期间的失血量降至最低；然而，但需要进行随机试验来确定其结果是否优于其他技术。
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