• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

A Two-Step Technique to Manage the Secondary Splenic Pedicles Using Ligasure in Laparoscopic Splenectomy: A Single Institution Experience of 105 Cases

Guang Y Wang, PhD, Bai Ji, MD. the First Hospital of Norman Bethune Medical College, Jilin University

Background Bleeding is the main complication and cause of conversion to open surgery during laparoscopic splenectomy(LS). Today the main splenic pedicle is worldwild controlled by the endoscopic vascular linear staplers(ENDO-GIA). There are many disadvantages of this approach, such as high expense and pancreas injury. In the authors’ institution, a two-step technique has been developed to manage the secondary splenic pedicles with LigaSure. However, no previous study reported this technique and assessed its reliability. Methods In our study, 105 patients which consisted of 76 hematologic diseases, 16 hypersplenism, 7 splenic cyst, 3 splenic trauma, 2 splenic abscess and 1 splenic benign tumor underwent laparoscopic splenectomy from June 2006 to August 2010 at the Department of Hepatobiliary & Pancreas Surgery, the First Hospital of Norman Bethune Medical College, Jilin University, Changchun, China. The secondary splenic pedicles were managed by the LigaSure in a two-step technique, and the splenic artery was controlled previously in splenomegaly patients. Spleen was removed in a three-step technique. Results Laparoscopic splenectomies were performed successfully for all the patients. The spleens were extracted easily. No postoperative complications related to this technique (such as bleeding, infection, pancreas injury) have occurred. 2 patients were converted to open splenectomy because of bleeding and adhesions, conversion rate was 1.9%. The average operative time was 100 min. The average blood loss was 500 ml, and the average volume of drainage fluid was 400 ml, and the average hospital stay was 7.5 days (range=6-9 days). Each patient can save 8000 Yuan without using ENDO-GIA ( range from 6900 Yuan to 9200 Yuan). There was no mortality. Conclusions Laparoscopic splenectomy by dividing the secondary splenic pedicles using LigaSure in a two-step technique can be performed safely. Although this procedure is technically challenging, it can be performed safely and successfully by experienced laparoscopic surgeons. This technique is feasible and less expensive than other laparoscopic procedures.


Session: Emerging Technology Poster
Program Number: ETP015
View Poster

184

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons