Comparison of the Thunderbeat and Other Energy Devices in Laparoscopic Colorectal Resection: A Single-Center Experience

Suhardja, Thomas Surya; Norhadi, Shana; Ee, Eric; Hodgkins, Brian

doi:10.1089/lap.2018.0208

Cited by 9 publications

(8 citation statements)

References 12 publications

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“…Development of new advanced energy based surgical instruments for laparoscopic surgery have shortened the surgical procedure time and have replaced the conventional hemostasis tools such as sutures, clips and staples with fast, safe and effective hemostasis. Our study did not find significant difference between the TB and LigaSure devices, consistent with the finding of other recent publications [ 2 , 12 ]. A retrospective study from Italy compared outcomes and cost between TB and three other energy-based devices in patients undergoing laparoscopic colorectal resection, did not find any significant difference in the operative time and other outcomes between the groups [ 2 ].…”

Section: Discussionsupporting

confidence: 93%

“…Our study did not find significant difference between the TB and LigaSure devices, consistent with the finding of other recent publications [2,12]. A retrospective study from Italy compared outcomes and cost between TB and three other energy-based devices in patients undergoing laparoscopic colorectal resection, did not find any significant difference in the operative time and other outcomes between the groups [2].…”

Section: Discussionsupporting

confidence: 92%

“…Bipolar electrosurgical technology has been widely used in laparoscopic bowel resection and considered a safe method for dissection and vessel ligation [1,[8][9][10]. Recent studies comparing TB to other energy devices suggest that all are safe and effective to use in laparoscopic colorectal surgery and report similar intraoperative and postoperative outcomes [2,11,12]. However, most of these studies are retrospective cohort studies or small prospective cohorts.…”

mentioning

confidence: 99%

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A pilot randomized controlled trial comparing THUNDERBEAT to the Maryland LigaSure energy device in laparoscopic left colon surgery

et al. 2021

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Background The THUNDERBEAT is a multi-functional energy device which delivers both ultrasonic and bipolar energy, but there are no randomized trials which can provide more rigorous evaluation of the clinical performance of THUNDERBEAT compared to other energy-based devices in colorectal surgery. The aim of this study was to compare the clinical performance of THUNDERBEAT energy device to Maryland LigaSure in patients undergoing left laparoscopic colectomy. Methods Prospective randomized trial with two groups: Group 1 THUNDERBEAT and Group 2 LigaSure in a single university hospital. 60 Subjects, male and female, of age 18 years and above undergoing left colectomy for cancer or diverticulitis were included. The primary outcome was dissection time to specimen removal (DTSR) measured in minutes from the start of colon mobilization to specimen removal from the abdominal cavity. Versatility (composite of five variables) was measured by a score system from 1 to 5 (1 being worst and 5 the best), and adjusted/weighted by coefficient of importance with distribution of the importance as follow: hemostasis 0.275, sealing 0.275, cutting 0.2, dissection 0.15, and tissue manipulation 0.1. Other variables were: dryness of surgical field, intraoperative and postoperative complications, and mortality. Follow-up time was 30 days. Results 60 Patients completed surgery, 31 in Group 1 and 29 in Group 2. There was no difference in the DTSR between the groups, 91 min vs. 77 min (p = 0.214). THUNDERBEAT showed significantly higher score in dissecting and tissue manipulation in segment 3 (omental dissection), and in overall versatility score (p = 0.007) as well as versatility score in Segment 2 (retroperitoneal dissection p = 0.040) and Segment 3 (p = 0.040). No other differences were noted between the groups. Conclusions Both energy devices can be employed effectively and safely in dividing soft tissue and sealing mesenteric blood vessels during laparoscopic left colon surgery, with THUNDERBEAT demonstrating some advantages over LigaSure during omental dissection and tissue manipulation. ClinicalTrial.gov # NCT02628093.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 99%

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A pilot randomized controlled trial comparing THUNDERBEAT to the Maryland LigaSure energy device in laparoscopic left colon surgery

et al. 2021

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“…Several studies have concluded that the TB can be as safe as other energy-based devices when used in laparoscopic surgery [ 20 – 22 ], thyroid surgery [ 11 ] and neck dissections [ 10 ]. This study has indicated that the TB is at least as safe as the SED during TL and ND, as the statistically insignificant difference was found in favor of the TB group.…”

Section: Discussionmentioning

confidence: 99%

A comparison of the Thunderbeat and standard electrocautery devices in head and neck surgery: a prospective randomized controlled trial

Kuipers

Kleijn

Wedman

et al. 2021

Eur Arch Otorhinolaryngol

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Purpose New energy-based sutureless vessel ligation devices, such as the Thunderbeat (Olympus Medical Systems Corp., Tokyo, Japan), could reduce operative time and limit blood loss in head and neck surgery; however, efficacy and safety in major head and neck surgery have not been investigated in a prospective, randomized study. Methods This prospective, double-arm, randomized controlled trial consisted of two parts: total laryngectomy (TL) and neck dissection (ND). Thirty patients planned for TL were randomized in two groups. For the ND part, forty-two operative sides were likewise randomized. In both parts, Thunderbeat was used in addition to the standard instrumentation in the intervention groups, while only standard instrumentation was used in the control groups. Primary outcome values were blood loss, operative time and complication rate. Results For the TL part there was no difference in mean blood loss (p = 0.062), operative time (p = 0.512) and complications (p = 0.662) between both hemostatic techniques. For the neck dissection part, there was a reduction in blood loss (mean 210 mL versus 431 mL, p = 0.046) and in operative time (median 101 (IQR 85–130) minutes versus 150 (IQR 130–199) minutes, p = 0.014) when Thunderbeat was used. There was no difference in complication rate between both hemostatic systems (p = 0.261). Conclusion The Thunderbeat hemostatic device significantly reduces operative blood loss and operative time for neck dissections, without increase in complications. In TL, blood loss using Thunderbeat was comparable with the standard technique, but the operative time tended to be shorter. Trial registration UMCG Research Register, Reg. no. 201700041, date of registration: 18/1/2017

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“…The growing adoption of minimally invasive techniques in colorectal cancer surgery has led to an increasing need for safer, more efficient, reliable hemostasis, and tissue dissection 10 . Recent advances in technology of laparoscopic surgical instrumentation made laparoscopic colorectal surgery more feasible 3 .…”

Section: Discussionmentioning

confidence: 99%

Sellado electrotérmico de vasos bipolares versus recorte de los vasos mesentéricos inferiores durante la proctectomía mínimamente invasiva

Zuhdy¹,

Metwally²,

Elmore³

et al. 2020

CIRU

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Comparison of the Thunderbeat and Other Energy Devices in Laparoscopic Colorectal Resection: A Single-Center Experience

Cited by 9 publications

References 12 publications

A pilot randomized controlled trial comparing THUNDERBEAT to the Maryland LigaSure energy device in laparoscopic left colon surgery

A pilot randomized controlled trial comparing THUNDERBEAT to the Maryland LigaSure energy device in laparoscopic left colon surgery

A comparison of the Thunderbeat and standard electrocautery devices in head and neck surgery: a prospective randomized controlled trial

Sellado electrotérmico de vasos bipolares versus recorte de los vasos mesentéricos inferiores durante la proctectomía mínimamente invasiva

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