Robotic Warshaw technique with special attention to prevent postoperative splenic infarction preserving splenic blood flow.

Autor: Shibuya M; Department of Surgery, Teikyo University School of Medicine Graduate School of Medicine, Tokyo, Japan., Misawa T; Department of Surgery, Teikyo University School of Medicine Graduate School of Medicine, Tokyo, Japan., Tsukiyama K; Department of Surgery, Teikyo University School of Medicine Graduate School of Medicine, Tokyo, Japan., Watanabe M; Department of Surgery, Teikyo University School of Medicine Graduate School of Medicine, Tokyo, Japan., Kondo R; Department of Surgery, Teikyo University School of Medicine Graduate School of Medicine, Tokyo, Japan., Takahashi K; Department of Surgery, Teikyo University School of Medicine Graduate School of Medicine, Tokyo, Japan., Kainuma M; Department of Surgery, Teikyo University School of Medicine Graduate School of Medicine, Tokyo, Japan., Sano K; Department of Surgery, Teikyo University School of Medicine Graduate School of Medicine, Tokyo, Japan.
Jazyk: angličtina
Zdroj: Journal of hepato-biliary-pancreatic sciences [J Hepatobiliary Pancreat Sci] 2024 Aug; Vol. 31 (8), pp. e44-e46. Date of Electronic Publication: 2024 Jun 18.
DOI: 10.1002/jhbp.12007
Abstrakt: Prevention of postoperative splenic infarction in the robotic Warshaw technique requires rigorous evaluation of blood flow to the spleen. Shibuya and colleagues recommend checking: (1) conventional splenic color change, (2) intrasplenic artery waveform by ultrasound Doppler examination, (3) blood flow using indocyanine green, and (4) pulsatile regurgitation from the splenic artery.
(© 2024 Japanese Society of Hepato‐Biliary‐Pancreatic Surgery.)
Databáze: MEDLINE