A prospective randomized comparison of two instruments for dissection and vessel sealing in laparoscopic colorectal surgery.

Details

Serval ID
serval:BIB_3CE562A175C4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A prospective randomized comparison of two instruments for dissection and vessel sealing in laparoscopic colorectal surgery.
Journal
Surgical Endoscopy
Author(s)
Hübner M., Hahnloser D., Hetzer F., Müller M.K., Clavien P.A., Demartines N.
ISSN
1432-2218 (Electronic)
ISSN-L
0930-2794
Publication state
Published
Issued date
2007
Volume
21
Number
4
Pages
592-594
Language
english
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Abstract
BACKGROUND: A newly available, laparoscopic 5-mm bipolar vessel sealing device promises substantial advantages over the 10-mm instrument. This study compared the safety as well as the technical and surgical aspects of these different tools.
METHODS: For this study, 30 consecutive patients undergoing laparoscopic left-sided colectomy were prospectively randomized for the 5-mm LigaSure or The 10-mm LigaSure. The patients' demographics were analyzed together with their intraoperative and postoperative parameters, and the instruments were assessed by the surgeons with a standardized questionnaire.
RESULTS: The two groups were comparable and demonstrated similar mean operation times, blood losses, and hospital stays. The 5-mm LigaSure was applied in more operation steps and resulted in fewer bleeding episodes and less lens cleaning. Monopolar scissors were used less frequently in the 5-mm group, thus minimizing cauteric lesions and their complications (0 in the 5-mm group vs 2 in the 10-mm group). Overall satisfaction with the 5-mm LigaSure was significantly higher (8.4 +/- 0.18 vs 6.9 +/- 0.41 out of 10; p = 0.002), with significant advantages in terms of dissection capacity, visibility, and handling.
CONCLUSION: The 5-mm LigaSure is as secure and fast as the larger 10-mm device and compares favorably in terms of finer dissection as well as trocar flexibility and handling. Therefore, it can be used safely in laparoscopic colorectal surgery.
Keywords
Aged, Blood Loss, Surgical/prevention & control, Colectomy/instrumentation, Colectomy/methods, Colonic Neoplasms/mortality, Colonic Neoplasms/pathology, Equipment Safety, Female, Follow-Up Studies, Hemostasis, Surgical/instrumentation, Hemostasis, Surgical/methods, Humans, Laparoscopy/adverse effects, Laparoscopy/methods, Length of Stay, Ligation/instrumentation, Male, Middle Aged, Probability, Prospective Studies, Risk Assessment, Sensitivity and Specificity, Statistics, Nonparametric, Treatment Outcome
Pubmed
Web of science
Create date
28/01/2008 9:53
Last modification date
20/08/2019 14:33
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