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 language | English (US) |
|---|---|
| Pages (from-to) | 401-404 |
| Number of pages | 4 |
| Journal | American Journal of Surgery |
| Volume | 199 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 1 2010 |
Keywords
- Distal pancreatectomy
- Habib
- Laparoscopic
- Radiofrequency
ASJC Scopus subject areas
- Surgery