Laparoscopic distal pancreatectomy using radiofrequency energy

Jeffrey S. Fronza, David Jason Bentrem, Marshall S. Baker, Mark S. Talamonti, Michael B. Ujiki*

*Corresponding author for this work

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Introduction: 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. Methods: 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. Results: 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. Conclusion: Radiofrequency energy is safe and feasible for use during laparoscopic pancreatic transection. Moreover, it is technically simple to use.

Original languageEnglish (US)
Pages (from-to)401-404
Number of pages4
JournalAmerican Journal of Surgery
Volume199
Issue number3
DOIs
StatePublished - Mar 1 2010

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Keywords

  • Distal pancreatectomy
  • Habib
  • Laparoscopic
  • Radiofrequency

ASJC Scopus subject areas

  • Surgery

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