Comparison of perioperative surgical outcomes between a bipolar device and an ultrasonic device during laparoscopic gastrectomy for gastric cancer

Kim, Youna; Yoo, Young Chul; Güner, Ali; Cho, In; Kwon, In Gyu; Kim, Youn Nam; Kim, Hyoung-Il

doi:10.1007/s00464-014-3702-8

Cited by 8 publications

(4 citation statements)

References 27 publications

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“…Another group reported that an ABD was inferior to a USAD in terms of the operative time [ 45 ]. Notably, Kim et al reported that in LDG with extended lymph node resection among 186 patients with gastric cancer, the ABD had advantages over the USAD with regard to operative time, degree of postoperative pain, time for drain removal, and length of hospital stay [ 46 ]. However, their study did not show any advantage of an ABD over a USAD in terms of safety.…”

Section: Discussionmentioning

confidence: 99%

An advanced bipolar device helps reduce the rate of postoperative pancreatic fistula in laparoscopic gastrectomy for gastric cancer patients: a propensity score-matched analysis

Shibao

Honda

Adachi

et al. 2022

Langenbecks Arch Surg

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Background Advanced bipolar devices (ABD; e.g., LigaSure™) have a lower blade temperature than ultrasonically activated devices (USAD; e.g., Harmonic® and Sonicision™) during activation, potentially enabling accurate lymph node dissection with less risk of postoperative pancreatic fistula (POPF) due to pancreatic thermal injury in laparoscopic gastrectomy. Therefore, we compared the efficacy and safety of ABD and USAD in laparoscopic gastrectomy for gastric cancer patients. Methods A retrospective cohort study was conducted on patients who underwent laparoscopic distal gastrectomy (LDG) between August 2008 and September 2020. A total of 371 patients were enrolled, and short-term surgical outcomes, including the incidence of ISGPF grades B and C POPF, were compared between ABD and USAD. The risk factors for POPF in LDG were investigated by univariate and multivariate analyses. Results A propensity score-matching algorithm was used to select 120 patients for each group. The POPF rate was significantly lower (0.8 vs. 9.2%, p < 0.001), the morbidity rate was lower (13.3 vs. 28.3%, p < 0.001), the length of postoperative hospitalization was shorter (14 vs. 19 days, p < 0.001), and the lymph node retrieval rate was higher (34 vs. 26, p < 0.001) with an ABD than with a USAD. There were no mortalities in either group. A multivariate analysis showed that a USAD was the only independent risk factor with a considerably high odds ratio for the occurrence of POPF (USAD/ABD, odds ratio 8.38, p = 0.0466). Conclusion An ABD may improve the safety of laparoscopic gastrectomy for gastric cancer patients.

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Section: Discussionmentioning

confidence: 99%

An advanced bipolar device helps reduce the rate of postoperative pancreatic fistula in laparoscopic gastrectomy for gastric cancer patients: a propensity score-matched analysis

Shibao

Honda

Adachi

et al. 2022

Langenbecks Arch Surg

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“…The choice of energy device and grasper for LTG depends on surgeon preference in part because there is a lack of solid evidence showing the superiority of one instrument over another. A Korean team indicated that, relative to an ultrasonic device, a bipolar device could bring more advantages to operation time, degree of postoperative pain, time to drain removal, and length of hospital stay . Still, an ultrasonic device has been widely used in laparoscopic radical gastrectomy .…”

Section: Discussionmentioning

confidence: 99%

Survey on laparoscopic total gastrectomy at the 11th China‐Korea‐Japan Laparoscopic Gastrectomy Joint Seminar

Cai

Zang

Yang

et al. 2017

Asian J Endoscop Surgery

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“…During laparoscopic gastrectomy, electrosurgical instruments have been developed for safe and effective hemostasis, vessel sealing, and tissue dissection. By using an energy device, it is very helpful to reduce the operation time when performing lymph node dissection during GC surgery, and as a result, improves the operation outcome [ 4 5 ]. The currently available energy devices used during laparoscopic gastrectomy are of 3 different energy-based methods: monopolar, bipolar, and ultrasonically activated electrosurgery.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Medisonic with Harmonic HD 1000i and Sonicision ultrasonic energy device in laparoscopic gastrectomy: a pilot randomized clinical trial

2023

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Purpose This study aimed to compare the clinical performance of Medisonic (Daiwha Corp.) to that of Harmonic HD 1000i (Ethicon Endo-Surgery Inc.) and Sonicision (Medtronic) in patients undergoing gastrectomy for gastric cancer. Methods A total of 30 patients were enrolled in this prospective randomized study. The patients were randomly assigned to a Medisonic (M group, n = 10), Harmonic HD 1000i (H group, n = 10), or Sonicision (S group, n = 10) groups. Primary outcome was cutting speed and activation times during omentectomy. Other variables were visibility of surgical field, blade stickiness, and clinical outcomes, including operation-related complications. Results Clinicopathologic characteristics, including age, sex, body mass index, or stage were not different between the 3 groups. Operative outcomes, including operation time, estimated blood loss, and postoperative hospital stay were not different between the 3 groups. There was no significant difference in 30-day postoperative complications. The running time of omentectomy was 7.3, 9.2, and 8.7 minutes in the H, S, and M groups, respectively, with no statistical difference (P = 0.589). We also looked at the activation times during the omentectomy, and there was no statistical difference between the groups (52.6 times vs. 58.9 times vs. 56.2 times in the H, S, and M groups, respectively; P = 0.860). Conclusion Medisonic is safe and efficient to perform laparoscopic radical gastrectomy and is not inferior to Harmonic HD 1000i or Sonicision in terms of clinical outcomes and cutting/sealing function.

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Comparison of perioperative surgical outcomes between a bipolar device and an ultrasonic device during laparoscopic gastrectomy for gastric cancer

Cited by 8 publications

References 27 publications

An advanced bipolar device helps reduce the rate of postoperative pancreatic fistula in laparoscopic gastrectomy for gastric cancer patients: a propensity score-matched analysis

An advanced bipolar device helps reduce the rate of postoperative pancreatic fistula in laparoscopic gastrectomy for gastric cancer patients: a propensity score-matched analysis

Survey on laparoscopic total gastrectomy at the 11th China‐Korea‐Japan Laparoscopic Gastrectomy Joint Seminar

Comparison of Medisonic with Harmonic HD 1000i and Sonicision ultrasonic energy device in laparoscopic gastrectomy: a pilot randomized clinical trial

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