Laparoscopic Splenectomy: Ligasure Versus EndoGIA: A Comparative Study

Romano, Fabrizio; Gelmini, Roberta; Caprotti, Roberto; Andreotti, Alessia; Guagliò, Marcello; Franzoni, Chiara; Uggeri, Franco; Saviano, Massimo

doi:10.1089/lap.2007.0005

Cited by 45 publications

(51 citation statements)

References 29 publications

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“…Ultracision LCSC 5 HA (group A). Beginning in May 2005, on the basis of our previous experience in laparoscopic splenectomy [4,5], we decided to switch to the Electric Bipolar Vessel Sealing System Ligasure® Atlas 10 mm, which was employed in 20 patients (group B).…”

Section: Methodsmentioning

confidence: 99%

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Energy-based hemostatic devices in laparoscopic adrenalectomy

Sartori

Romano

Uggeri

et al. 2009

Langenbecks Arch Surg

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Section: Methodsmentioning

confidence: 99%

“…However, while in other surgical fields like laparoscopic splenectomy [4,5] or thyroid [6][7][8][9], hepatic [10][11][12] and colonic [13,14] surgery, there are a lot of papers addressing this topic, up to now, only one paper compares the two instruments in laparoscopic adrenal surgery [15].…”

Section: Introductionmentioning

confidence: 99%

Energy-based hemostatic devices in laparoscopic adrenalectomy

Sartori

Romano

Uggeri

et al. 2009

Langenbecks Arch Surg

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“…Recently, the alternative use of energy-based devices in place of sutures and mechanical clips (which leave foreign objects in the body) has enabled more rapid and efficient methods for vessel and tissue ligation. These energy-based devices can reduce surgical operative times [1][2][3] and costs [4][5][6] significantly. Several different types of energy-based instruments used in surgery today are capable of rapidly sealing blood vessels and tissue structures using thermal energy to denature proteins and reform the material by coagulation into seals that can withstand supraphysiological blood pressures.…”

Section: Energy-based Surgical Devicesmentioning

confidence: 99%

Rapid sealing and cutting of porcine blood vessels,ex vivo, using a high-power, 1470-nm diode laser

et al. 2014

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Abstract. Suture ligation with subsequent cutting of blood vessels to maintain hemostasis during surgery is time consuming and skill intensive. Energy-based electrosurgical and ultrasonic devices are often used to replace sutures and mechanical clips to provide rapid hemostasis and decrease surgery time. Some of these devices may create undesirably large collateral zones of thermal damage and tissue necrosis, or require separate mechanical blades for cutting. Infrared lasers are currently being explored as alternative energy sources for vessel sealing applications. In a previous study, a 1470-nm laser was used to seal vessels 1 to 6 mm in diameter in 5 s, yielding burst pressures of ∼500 mmHg. The purpose of this study was to provide vessel sealing times comparable with current energy-based devices, incorporate transection of sealed vessels, and demonstrate high vessel burst pressures to provide a safety margin for future clinical use. A 110-W, 1470-nm laser beam was transmitted through a fiber and beam shaping optics, producing a 90-W linear beam 3.0 by 9.5 mm for sealing (400 W∕cm 2 ), and 1.1 by 9.6 mm for cutting (1080 W∕cm 2 ). A two-step process sealed and then transected ex vivo porcine renal vessels (1.5 to 8.5 mm diameter) in a bench top setup. Seal and cut times were 1.0 s each. A burst pressure system measured seal strength, and histologic measurements of lateral thermal spread were also recorded. All blood vessels tested (n ¼ 55 seal samples) were sealed and cut, with total irradiation times of 2.0 s and mean burst pressures of 1305 AE 783 mmHg. Additional unburst vessels were processed for histological analysis, showing a lateral thermal spread of 0.94 AE 0.48 mm (n ¼ 14 seal samples). This study demonstrated that an optical-based system is capable of precisely sealing and cutting a wide range of porcine renal vessel sizes and, with further development, may provide an alternative to radiofrequency-and ultrasonic-based vessel sealing devices.

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“…Vessel sealing devices have also become increasingly used in elective open and laparoscopic general surgery procedures, including gastrectomies, colectomies, adrenalectomies, and splenectomies. They have been shown to be cost-effective when compared to other techniques and devices, mostly because it saves time and decreases blood loss [50][51][52][53].…”

Section: Tissue Sealing Devicesmentioning

confidence: 99%

Technological advancements in the care of the trauma patient

Siracuse

Saillant

Hauser

2011

Eur J Trauma Emerg Surg

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The advances in trauma care are in great measure due to the integration of many different systems. Medical technology impacts care in the field at the site of the trauma, in the transport to trauma facilities, and care at the trauma center itself. Once at the hospital, technology has impacted care in the trauma bay, intensive care units, the operating room, and in postoperative and long-term care settings. The integration of advancements, however, needs to be examined in a careful systematic fashion to insure that patients will actually derive benefit.

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Laparoscopic Splenectomy: Ligasure Versus EndoGIA: A Comparative Study

Abstract: The approach to spleen dissection and hilum section was safe and efficacy in each case, otherwise the use of Ligasure results in a gain of time. Furthermore the average intraoperative bleeding and average transfusion rates of this series were lower in group 2.

Cited by 45 publications

References 29 publications

Energy-based hemostatic devices in laparoscopic adrenalectomy

Energy-based hemostatic devices in laparoscopic adrenalectomy

Rapid sealing and cutting of porcine blood vessels,ex vivo, using a high-power, 1470-nm diode laser

Technological advancements in the care of the trauma patient

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