How we do a bloodless partial splenectomy

Am J Surg. 2003 Aug;186(2):164-6. doi: 10.1016/s0002-9610(03)00170-3.

Abstract

Partial splenectomy and Tru-cut biopsy are not routinely practiced because of the lack of vascular control to arrest bleeding. Using radiofrequency energy to coagulate the resection margin and biopsy tract, a 74-year-old woman with a tumor in the lower pole of the spleen underwent partial splenectomy and Tru-Cut biopsy of the spleen. Hemostasis was excellent. Blood loss was minimal and the patient was discharged with a functioning spleen. This new technique may allow safe and bloodless partial splenic resection and Tru-cut biopsy of the spleen, which might reduce the number of splenectomies performed and the consequent difficulties for the patient that can arise.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Humans
  • Male
  • Splenectomy / methods*
  • Splenic Neoplasms / diagnostic imaging
  • Splenic Neoplasms / secondary
  • Splenic Neoplasms / surgery*
  • Tomography, X-Ray Computed