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Updated: Jun 1, 2026
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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Laparoscopic Splenectomy Using LigaSure
Norman Oneil Machado1, Nayil Al Kindy, Pradeep J Chopra
1Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman. oneilnorman@gmail.com
Summary
LigaSure, a vessel sealing system, enhances laparoscopic splenectomy (LS) safety by reducing bleeding and operating time. This method offers a safe and efficient approach for vascular control during LS procedures.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Vascular Sealing Technology
Background:
- Laparoscopic splenectomy (LS) is standard for splenectomy, but bleeding remains a key complication.
- Vascular control at the hilum is critical for safe LS.
- LigaSure offers a potential solution for safe vascular sealing in LS.
Purpose of the Study:
- To evaluate the efficacy and safety of LigaSure for vascular control during LS.
- To assess the impact of LigaSure on operative time and blood loss in LS.
- To compare LigaSure outcomes with other methods in the literature.
Main Methods:
- Prospective case series of 12 consecutive LS using LigaSure.
- Literature review of 231 LS cases utilizing LigaSure for hilar control.
- Analysis of operative time, blood loss, and complications.
Main Results:
- Mean operative time was 126 minutes with a mean blood loss of 70mL.
- LigaSure use was associated with reduced operative time (102 minutes) and blood loss (66mL) compared to endostaplers in literature.
- Two postoperative complications (portal vein thrombosis, subphrenic collection) were noted.
Conclusions:
- LigaSure facilitates safe vascular control in LS, leading to reduced operative time and intraoperative bleeding.
- The use of LigaSure in the semilateral position contributes to improved safety and efficiency in LS.
- LigaSure demonstrates potential for lower complication and conversion rates in laparoscopic splenectomy.
