Laparoscopic radiofrequency ablation for traumatic splenic rupture

Li, Yongguang; Zhang, Wei; Yin-sheng, Tian; Li, Min

doi:10.1016/j.jss.2013.06.018

Cited by 11 publications

(4 citation statements)

References 15 publications

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“…57 New procedures such as polyglycolic acid elastic mesh for splenic capping, use of autologous fibrin glue and radiofrequency ablation to stop bleeding were experimented on animal models and small populations in later years ,with favourable outcomes. [61][62][63][64][65][66] Grading splenic injury…”

Section: Spleen-preserving Surgeriesmentioning

confidence: 99%

Splenic trauma in the twenty-first century: changing trends in management

Roy

Mukherjee

Parik

2018

annals

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Over the past three decades, management of blunt splenic trauma has changed radically. Use of improved diagnostic techniques and proper understanding of disease pathology has led to nonoperative management being chosen as the standard of care in patients who are haemodynamically stable. This review was undertaken to assess available literature regarding changing trends of management of blunt splenic trauma, and to identify the existing lacunae in nonoperative management. The PubMed database was searched for studies published between January 1987 and August 2017, using the keywords 'blunt splenic trauma' and 'nonoperative management'. One hundred and fifty-three articles were reviewed, of which 82 free full texts and free abstracts were used in the current review. There is clear evidence in published literature of the greater success of nonoperative over operative management in patients who are haemodynamically stable and the increasing utility of adjunctive therapies like angiography with embolisation. However, the review revealed a lack of universal guidelines for patient selection criteria and diagnostic and grading procedures needed for nonoperative management. Indications for splenic artery embolisation, the current role of splenectomy and spleen-preserving surgeries, together with the place of minimal access surgery in blunt splenic trauma remain grey areas. Moreover, parameters affecting the outcomes of nonoperative management and its failure and management need to be defined. This shows a need for future studies focused on these shortcomings with the ultimate aim being the formulation and implementation of universally accepted guidelines for safe and efficient management of blunt splenic trauma.

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Section: Spleen-preserving Surgeriesmentioning

confidence: 99%

Splenic trauma in the twenty-first century: changing trends in management

Roy

Mukherjee

Parik

2018

annals

View full text Add to dashboard Cite

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“…They described the successful application of fibrin glue in six patients, achieving good hemostasis without conversion to open surgery, within a mean operative time of 1 h. In this series, there was no postoperative mortality or morbidity and the mean in-hospital stay was 4.3 days. Other reported hemostatic techniques for splenic salvage include radiofrequency ablation [ 49 ], argon beam coagulator [ 50 ], and mesh wrapping [ 34 , 51 ]. Li and colleagues [ 49 ] reported a series of four patients, three of whom underwent laparoscopic hemostasis with radiofrequency ablation without surgery, while one was treated with partial splenectomy.…”

Section: Spleen-preserving Laparoscopic Surgery For Traumamentioning

confidence: 99%

“…Other reported hemostatic techniques for splenic salvage include radiofrequency ablation [ 49 ], argon beam coagulator [ 50 ], and mesh wrapping [ 34 , 51 ]. Li and colleagues [ 49 ] reported a series of four patients, three of whom underwent laparoscopic hemostasis with radiofrequency ablation without surgery, while one was treated with partial splenectomy. One patient required emergency laparotomy and splenectomy for ongoing bleeding, but the others had an uneventful postoperative recovery.…”

Section: Spleen-preserving Laparoscopic Surgery For Traumamentioning

confidence: 99%

Laparoscopic surgery for splenic injuries in the era of non-operative management: current status and future perspectives

et al. 2020

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The spleen is one of the organs most commonly injured by blunt abdominal trauma. It plays an important role in immune response to infections, especially those sustained by encapsulated bacteria. Nonoperative management (NOM), comprising clinical and radiological observation with or without angioembolization, is the treatment of choice for traumatic splenic injury in patients who are hemodynamically stable. However, this strategy carries a risk of failure, especially for high-grade injuries. No clear predictors of failure have been identified, but minimally invasive surgery for splenic injury is gaining popularity. Laparoscopic surgery has been proposed as an alternative to open surgery for hemodynamically stable patients who require surgery, such as after failed NOM. We reviewed research articles on laparoscopic surgery for hemodynamically stable patients with splenic trauma to explore the current knowledge about this topic. After presenting an overview of the treatments for splenic trauma and the immunological function of the spleen, we try to identify the future indications for laparoscopic surgery in the era of NOM.

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“…Numerous studies have been concerned with thermal ablation for normal spleen, splenic injury and splenomegaly (12)(13)(14). Previous studies demonstrated that microwave ablation of the spleen for splenomegaly and hypersplenism had a favorable effect on the peripheral lymphocytes (15).…”

Section: Introductionmentioning

confidence: 99%

Hepatectomy combined with microwave ablation of the spleen for treatment of hepatocellular carcinoma complicated with splenomegaly: A retrospective study

Han

Kong

Ding

et al. 2016

Molecular and Clinical Oncology

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Abstract. The present retrospective study aimed to investigate the mid-term safety and efficacy of hepatectomy combined with microwave ablation of the partial spleen for treatment of liver cancer complicated with hypersplenism. A retrospective analysis was performed on 23 patients who underwent hepatectomy combined with microwave ablation of the partial spleen for liver cancer, complicated with hypersplenism that was secondary to cirrhosis. The splenic and ablated volumes were calculated according to a contrast-enhanced computed tomography scan prior to and 2 weeks after the operation. Complete blood count and liver function tests were examined prior to and following the surgery, and complications and changes in the blood tests were monitored for 6 months. Over this period of investigation, the splenic volume was reduced by a mean value of 34.0%. The levels of serum alanine aminotransferase and aspartate aminotransferase were increased on the first day after the operation (P<0.05), although they recovered to the normal level within 1 week (P<0.05). The total level of bilirubin increased slightly, along with moderately decreased levels of albumin and cholinesterase on the first day, although these changes were not significant compared with the baseline (P>0.05). The white blood cell count was persistently significantly higher compared with the baseline over the course of the 6 months (P>0.05). The platelet count did not increase significantly for the first week after the operation (P>0.05); however, it was revealed to be significantly increased 1 month after the surgery (P<0.05). No significant complications were occurred during the follow-up period. In conclusion, hepatectomy combined with microwave ablation of the spleen was demonstrated to be a safe and effective procedure for patients with liver cancer and hypersplenism in the mid-term.

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Laparoscopic radiofrequency ablation for traumatic splenic rupture

Cited by 11 publications

References 15 publications

Splenic trauma in the twenty-first century: changing trends in management

Splenic trauma in the twenty-first century: changing trends in management

Laparoscopic surgery for splenic injuries in the era of non-operative management: current status and future perspectives

Hepatectomy combined with microwave ablation of the spleen for treatment of hepatocellular carcinoma complicated with splenomegaly: A retrospective study

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