Application of Microwave Ablation in Laparoscopic Partial Splenectomy

Area of Science:

• Surgical Oncology
• Minimally Invasive Surgery
• Gastroenterology

Background:

• Splenic hemangioma is the most common splenic tumor, with evolving treatment strategies.
• Historically, open splenectomy was standard, but minimally invasive laparoscopic approaches are now preferred.
• Partial splenectomy is increasingly favored to preserve spleen function and reduce complications like thrombocythemia.

Purpose of the Study:

• To evaluate the efficacy and safety of laparoscopic partial splenectomy combined with microwave ablation for splenic hemangioma.
• To address the challenge of intraoperative bleeding during partial splenectomy.
• To promote spleen preservation while achieving minimally invasive treatment goals.

Main Methods:

• Laparoscopic partial splenectomy involving resection of splenic blood vessels.
• Intraoperative use of microwave ablation to control bleeding.
• Focus on preserving splenic parenchyma and function.

Main Results:

• The combined technique successfully managed intraoperative bleeding.
• Achieved the goals of minimally invasive surgery.
• Demonstrated feasibility for spleen preservation and reduced complication risks.

Conclusions:

• Laparoscopic partial splenectomy with microwave ablation is a safe and effective method for treating splenic hemangioma.
• This approach balances spleen preservation with effective tumor management and reduced bleeding risks.
• The technique warrants wider clinical application and promotion for suitable patients.