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Published on: February 2, 2022
Laparoscopic distal pancreatectomy using radiofrequency energy
Jeffrey S Fronza1, David J Bentrem, Marshall S Baker
1Department of Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Introduction:
The pancreatic remnant remains a significant source of morbidity during laparoscopic pancreatectomy. Previous series have relied heavily on the endoscopic stapler for transection. Our study is the first to report use of a laparoscopic radiofrequency device for pancreatic transection.
Methods:
The laparoscopic Habib 4x delivers high-energy radio waves through a hand-held device consisting of 4 electrodes and allows for bloodless tissue transection. We retrospectively evaluated prospectively collected data. Fourteen patients were identified and used in our analysis.
Results:
There were no conversions, blood transfusions, reoperations, or mortalities. Average length of stay was 4.6 days. There was 1 readmission. Clinically significant fistula occurred in 2 patients (14%), only one of which required an intervention.
Conclusion:
Radiofrequency energy is safe and feasible for use during laparoscopic pancreatic transection. Moreover, it is technically simple to use.
