{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:40:03Z","timestamp":1751485203905,"version":"3.41.0"},"reference-count":9,"publisher":"International College of Surgeons","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>Laparoscopic splenectomy (LS) has been accepted as a safe and effective procedure as compared with open splenectomy. Recently, there have been a few reports on the LigaSure vessel sealing system as an alternative hemostasis to clip ligation. Here we report the experience of LS using an alternative energy device, Harmonic Scalpel laparoscopic coagulating shears (LCS). Preliminary experience of LS with LCS for a patient with idiopathic thrombocytopenic purpura (ITP) is reported. Generally, two-step sealing with LCS was used for vessels of the splenic pedicle approximately 5 mm in diameter without using the Endo-GIA stapler. Operative time was 93 minutes, and blood loss was 40 mL. The patient was discharged on the third postoperative day with no intraoperative or postoperative complications. The LS with LCS was performed safely using two-step sealing. Further experience is necessary to verify the safety of this procedure.<\/jats:p>","DOI":"10.9738\/intsurg-d-13-00035.1","type":"journal-article","created":{"date-parts":[[2013,11,14]],"date-time":"2013-11-14T15:04:38Z","timestamp":1384441478000},"page":"385-387","source":"Crossref","is-referenced-by-count":7,"title":["Stapleless Laparoscopic Splenectomy Using Harmonic Scalpel by 2-Step Sealing"],"prefix":"10.9738","volume":"98","author":[{"given":"Shuichi","family":"Fujioka","sequence":"first","affiliation":[{"name":"Department of Surgery, Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiko","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoyoshi","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsuhiko","family":"Yanaga","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"44","key":"i0020-8868-98-4-385-b01","series-title":"Presse Med","first-page":"2263","article-title":"Splenectomy by the laparoscopic approach: report of a case [in French][abstract]","volume":"20","author":"Delaitre\n              B,","year":"1991","unstructured":"Delaitre\n              B, \n            \n              Maignien\n              B. \n          \n          Splenectomy by the laparoscopic approach: report of a case [in French][abstract]. Presse Med1991;20(44):2263"},{"issue":"4","key":"i0020-8868-98-4-385-b02","series-title":"Surg Endosc","first-page":"183","article-title":"Laparoscopic splenectomy","volume":"6","author":"Carroll\n              BJ,","year":"1992","unstructured":"Carroll\n              BJ, \n            \n              Phillips\n              EH, \n            \n              Semel\n              CJ, \n            \n              Fallas\n              M, \n            \n              Morgenstern\n              L. \n          \n          Laparoscopic splenectomy. 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Surg Endosc2006;20(6):991\u2013994"},{"issue":"suppl 1","key":"i0020-8868-98-4-385-b09","series-title":"J Laparoendosc Surg","first-page":"S61","article-title":"Laparoscopic splenectomy using the harmonic scalpel","volume":"6","author":"Rothenberg\n              SS.","year":"1996","unstructured":"Rothenberg\n              SS. \n          \n          Laparoscopic splenectomy using the harmonic scalpel. J Laparoendosc Surg1996;6(suppl 1):S61\u2013S63"}],"container-title":["International Surgery"],"original-title":[],"link":[{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/98\/4\/article-p385.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/international-surgery\/article-pdf\/98\/4\/385\/2347412\/intsurg-d-13-00035_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/98\/4\/article-p385.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/98\/4\/article-p385.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T18:59:42Z","timestamp":1751482782000},"score":1,"resource":{"primary":{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/98\/4\/article-p385.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":9,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.9738\/intsurg-d-13-00035.1","relation":{},"ISSN":["0020-8868","2520-2456"],"issn-type":[{"type":"print","value":"0020-8868"},{"type":"electronic","value":"2520-2456"}],"subject":[],"published":{"date-parts":[[2013]]}}}