Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 21, 2015; 21(11): 3420-3424
Published online Mar 21, 2015. doi: 10.3748/wjg.v21.i11.3420
Partial splenectomy using a laparoscopic bipolar radiofrequency device: A case report
Wei-Dong Wang, Jie Lin, Zhi-Qiang Wu, Qing-Bo Liu, Jing Ma, Xiao-Wu Chen
Wei-Dong Wang, Jie Lin, Zhi-Qiang Wu, Qing-Bo Liu, Jing Ma, Xiao-Wu Chen, Second Department of General Surgery, the First People’s Hospital of Shunde, Shunde 528300, Guangdong Province, China
Author contributions: Wang WD, Lin J, Wu ZQ, Liu QB and Chen XW participated in the study design and performance; Ma J collected the clinical data.
Supported by grants from First People’s Hospital of Shunde, Guangdong Province, China.
Ethics approval: The study was reviewed and approved by the Institutional Review Board of The First People’s Hospital of Shunde.
Informed consent: The study participant provided informed written consent prior to study enrollment.
Conflict-of-interest: No potential conflicts of interest relevant to this article were reported.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Xiao-Wu Chen, MD, PhD, Second Department of General Surgery, the First People’s Hospital of Shun De, No. 1 Penglai Road, Shunde 528300, Guangdong Province, China. sdchenxiaowu1968@163.com
Telephone: +86-757-22318705 Fax: +86-757 -22223899
Received: September 25, 2014
Peer-review started: September 28, 2014
First decision: October 29, 2014
Revised: November 25, 2014
Accepted: December 16, 2014
Article in press: December 16, 2014
Published online: March 21, 2015
Abstract

We report a 51-year-old female patient with a solitary lymphangioma located in the upper splenic pole which was managed successfully with laparoscopic partial splenectomy. Surgery lasted 170 min and did not require blood transfusions. The patient recovered well post-operatively and was asymptomatic at the 3-mo follow-up. She had a normal platelet count and no recurrence on ultrasonography or computed tomography. Laparoscopic partial splenectomy is a safe, minimally invasive technique for the treatment of solitary splenic lymphangiomas in the splenic pole. We performed the procedure using the HabibTM 4X device. This laparoscopic bipolar radiofrequency device ensured a “bloodless” splenic parenchymal resection.

Keywords: Laparoscopic partial splenectomy, Splenic lymphangioma, Laparoscopic bipolar radiofrequency device, HabibTM 4X

Core tip: We report the first case of a solitary splenic lymphangioma managed successfully by laparoscopic partial splenectomy using HabibTM 4X, a laparoscopic bipolar radiofrequency device, which allowed for a “bloodless” splenic parenchymal resection.