Spleen resection using radio frequency ablation

• Ionkin D.A.
• Stepanova Yu.A.
• Alimurzaeva M.Z.

Abstract

Aim – to evaluate the results of bloodless spleen resection using RFA in patients with focal lesions.

The technical task solved in the study was to minimize the risk of both intraoperative and postoperative bleeding when performing RFA of the spleen during its resection, caused by various etiologies lesions. The achieved results are minimizing the risk of intraoperative bleeding their postoperative complications caused.

Material and methods. At the A.V. Vishnevsky National Medical Research Center of Surgery special performed surgical treatment of 16 patients with focal spleen lesions with the resection using RFA (laparotomic – 13, laparoscopic – 2, robot-assisted – 1).

Results. Features of surgical intervention are noted. A comparative analysis of the results of various methods of organ-saving surgical treatment is provided: traditional spleen resections, RFA resections, laparoscopic resections (LS-resections) and robotic resections (RA-resections).

Conclusion. The use of RFA resection is justified both for significant lesions of the spleen and for localization of the pathological focus in one of the poles of the spleen. Good results were obtained both in the treatment of large tumor lesions and in splenic abscesses.

Keywords: splenic local lesions; partial splenectomy; radifrequency ablation; treatment results

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