Laparoscopic partial splenectomy for giant cyst using a radiofrequency-assisted device: a case report

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Radiofrequency Ablation Technology

Background:

• Partial splenectomy is not commonly performed using radiofrequency-assisted devices.
• This report details the first laparoscopic partial splenectomy employing an RF-assisted device (Coolinside).
• The device facilitates coagulation and transection of splenic parenchyma and seals the remnant side.

Purpose of the Study:

• To describe the first case of laparoscopic partial splenectomy using an RF-assisted device.
• To evaluate the efficacy of RF ablation in splenic tissue dissection.
• To assess blood loss and safety during the procedure.

Main Methods:

• A 27-year-old female patient presented with a giant hydatid cyst (12.0 × 14.0 × 16.6 cm) involving the spleen and retroperitoneum.
• Laparoscopic partial splenectomy was performed using an RF-based device for coagulation and dissection.
• The procedure aimed to preserve splenic function while removing the cyst.

Main Results:

• The laparoscopic partial splenectomy was successfully completed using the RF-assisted device.
• The estimated blood loss was less than 200 mL, indicating effective hemostasis.
• The device demonstrated capability for both splenic tissue coagulation and transection.

Conclusions:

• Radiofrequency (RF) ablation, traditionally used for liver transection, appears suitable for partial splenectomy.
• The RF-assisted device showed promising results in minimizing blood loss during partial splenectomy.
• Further randomized trials are needed to compare this technique with existing methods for partial splenectomy.