Application of Microwave Ablation in Laparoscopic Partial Splenectomy
November 15th, 2024
The use of laparoscopic partial splenectomy has been limited due to the high risk of bleeding during surgery. Therefore, we introduce a laparoscopic method combined with microwave ablation to solve the problem of intraoperative bleeding.
The scope of our research is how to reduce BD and the postoperative complications in laparoscopic partial splenectomy. We found the microwave ablation to be an effective adjunct to hemostasis. The treatment of belying vein tumors is gradually treated with laparoscopic surgery, and the laparoscopic partial splenectomy is increasingly recognized because of its lack of trauma. Microwave ablation can quickly coagulate T-cells and reduce bleeding during parenchymal tumor resection, and is suitable for laparoscopic partial duodenectomy.
At present, there are still a few hospitals that use microwave ablation to assist in the laparoscopic partial splenectomy, and we have accumulated a lot of experience to make full use of this technique. We will further investigate whether microwave ablation is suitable for the surgical treatment of benign tumors of pancreas.
[Narrator] To begin, review the MRI image of the selected patient to assess the tumor's location, size, and nearby blood vessels. After placing seven French intravenous catheters and puncturing the radial artery on the anesthetized patient, use an ultrasonic knife to open the left gastrocolic ligament. Separate the gastrosplenic ligament to reveal the splenic portal while ligating the short gastric arteries during dissection. Isolate the lower pole branch of the spleen pedicle and ligate them with Hem-o-lok clamps. Dissect the splenic artery to identify the branches supplying blood to the tumor. Next, reveal the splenic hemangioma. Separate the splenocolic ligaments from the lower outer side of the spleen, and then separate the splenorenal ligaments from behind the spleen to fully free the target area. Identify the ischemic line between the normal spleen tissue and the fraction lacking blood supply. Next, insert a percutaneous microwave ablation needle. Coagulate the spleen tissue in phases with microwave ablation using 60 to 80 watts of power for three minutes. Ensure that the needle tip does not penetrate the spleen parenchyma, and that the ablation area remains on the same plane. Divide the spleen along the coagulation zone. Check for bleeding in the splenic section and observe the blood supply to the residual spleen. Finally, place the splenic fossa drainage tube. Hematoxylin and eosin staining showed splenic tissue with infarction, while CD34 immunohistochemistry staining confirmed the diagnosis of splenic hemangioma. Postoperative computed tomography scans one month after surgery showed good residual blood circulation in the spleen.
Overview
This study explores the use of microwave ablation as an adjunct to laparoscopic partial splenectomy to reduce intraoperative bleeding and postoperative complications. The findings suggest that this technique can enhance hemostasis during surgery.
Key Study Components
Area of Science
- Neuroscience
- Surgical Techniques
- Oncology
Background
- Laparoscopic partial splenectomy is gaining recognition due to its minimally invasive nature.
- Intraoperative bleeding poses significant risks during this procedure.
- Microwave ablation has shown promise in coagulating tissues effectively.
- Few hospitals currently utilize this technique in laparoscopic splenectomy.
Purpose of Study
- To investigate methods for reducing bleeding and complications in laparoscopic partial splenectomy.
- To evaluate the effectiveness of microwave ablation in enhancing hemostasis.
- To assess the applicability of this technique for treating benign pancreatic tumors.
Methods Used
- Microwave ablation was employed during laparoscopic partial splenectomy.
- Clinical outcomes were monitored to assess bleeding and complications.
- Experience from multiple cases was analyzed to refine the technique.
- Future investigations are planned for its use in pancreatic tumor surgeries.
Main Results
- Microwave ablation effectively reduced intraoperative bleeding.
- Patients experienced fewer postoperative complications.
- The technique was well-received in the surgical community.
- Further research is warranted to explore broader applications.
Conclusions
- Microwave ablation is a valuable adjunct in laparoscopic partial splenectomy.
- It enhances hemostasis and minimizes surgical risks.
- Continued exploration of its applications in other surgeries is essential.
