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Laparoscopic distal pancreatectomy using radiofrequency energy.

Research paper by Jeffrey S JS Fronza, David J DJ Bentrem, Marshall S MS Baker, Mark S MS Talamonti, Michael B MB Ujiki

Indexed on: 17 Mar '10Published on: 17 Mar '10Published in: The American Journal of Surgery®



Abstract

The pancreatic remnant remains a significant source of morbidity during laparoscopic pancreatectomy. Previous series have relied heavily on the endoscopic stapler for transection. Our study is the first to report use of a laparoscopic radiofrequency device for pancreatic transection.The laparoscopic Habib 4x delivers high-energy radio waves through a hand-held device consisting of 4 electrodes and allows for bloodless tissue transection. We retrospectively evaluated prospectively collected data. Fourteen patients were identified and used in our analysis.There were no conversions, blood transfusions, reoperations, or mortalities. Average length of stay was 4.6 days. There was 1 readmission. Clinically significant fistula occurred in 2 patients (14%), only one of which required an intervention.Radiofrequency energy is safe and feasible for use during laparoscopic pancreatic transection. Moreover, it is technically simple to use.