Laparoscopic splenectomy and LigaSure

Surg Laparosc Endosc Percutan Tech. 2005 Aug;15(4):212-5. doi: 10.1097/01.sle.0000174550.94671.30.

Abstract

Laparoscopic splenectomy (LS) is a preferred choice, especially for hematologic diseases. We present the advantages of the use of LigaSure (energy-based equipment that works by applying a precise amount of bipolar energy and pressure to the tissue, achieving a permanent seal) for achieving a precise hemostasis, thus making the LS easier. We have performed LS using LigaSure on 10 patients (4 female, 6 male; mean age, 36 years [range, 16-58]) between December 2002 and August 2003. All patients had ITP. There were no conversion to open surgery. Mean dimensions of spleens were 99 x 49 mm (range, 85 x 36-118 x 60). Intraoperative blood loss was no more than 100 mL in any patients (range, 20-100; mean, 60). The average operative time was 93 minutes (range, 60-155). There were no complications in the postoperative period. The average postoperative stay was 4.3 days (range, 3-7). LS using LigaSure is a safe and time-sparing procedure with almost no complications in this small initial series.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Hemostasis, Surgical / instrumentation*
  • Humans
  • Laparoscopy*
  • Length of Stay
  • Male
  • Middle Aged
  • Splenectomy / methods*