Pancreaticoduodenectomy in portal hypertension: use of the Ligasure

Belli, Giulio; Fantini, Corrado; Ciciliano, Fabio; D’Agostino, Alberto; Barberio, Manuel

doi:10.1007/s00534-002-0745-3

Cited by 44 publications

(57 citation statements)

References 8 publications

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“…Mortality was lower in the group using the ultrasonic dissection device, but did not reach the level of significance (p = 0.117). This underscores the early experiences made with the LigaSure device in pancreatic surgery that showed no difference in mortality between study groups [13,34,35]. The present study cannot confirm the previous suggestion that dividing the pancreas with an ultrasonic dissection device during distal pancreatectomy reduces the incidence of pancreatic fistula [16,17] since fistula rates were comparable in both groups.…”

Section: Discussioncontrasting

confidence: 55%

Harmonic Scalpel versus Conventional Dissection Technique in Pylorus-Preserving Partial Duodenopancreatectomy

et al. 2012

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Background/Aims: Pancreatic head resection is performed with low mortality, but morbidity remains high. Extensive preparation, long operating times, intraoperative blood loss and the need for blood transfusions are risk factors for postoperative morbidity. The aim of our study was to evaluate the feasibility and safety of the ultrasonic dissection device in pylorus-preserving duodenopancreatectomy (PPPD). Methods: Fifty consecutive patients who underwent PPPD with an ultrasonic dissection device (group 1) were compared with a match-controlled group of 50 consecutive patients who underwent PPPD with conventional dissection techniques (group 2). Duration of surgery, intraoperative blood loss, blood units, complications, mortality and duration of hospital stay were analyzed. Results: There was no difference in age, gender or BMI between groups. In group 1, mean blood loss (446 ± 281.8 ml, p = 0.008) and number of blood units (0.32 ± 0.86, p = 0.001) were significantly lower than in group 2 (819 ± 915.4 ml; 1.36 ± 2.83 units). Duration of surgery was shorter in group 1 (345.6 vs. 373 min, p = 0.28). The rate of postoperative complications, mortality and hospital stay were not significantly different. Conclusions: Use of an ultrasonic dissection device in PPPD might significantly reduce intraoperative blood loss and the need for blood transfusions. These results should be verified in a prospective randomized controlled trial.

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Section: Discussioncontrasting

confidence: 55%

Harmonic Scalpel versus Conventional Dissection Technique in Pylorus-Preserving Partial Duodenopancreatectomy

et al. 2012

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“…Therefore, many clinical studies have also confirmed its sealing reliability [14,17,18]. Moreover, it was proven quite effective and reliable for intraoperative ligation of the thyroid isthmus, middle thyroid vein, and superior and inferior poles in all patients.…”

Section: Discussionmentioning

confidence: 87%

The use of LigaSure in patients with hyperthyroidism

Barbaros

Erbil

Bozbora

et al. 2006

Langenbecks Arch Surg

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“…The debate surrounding the cost-effectiveness of each surgical innovation is driven by the expense of the new technique, its associated equipment, and operative times. It is not unlikely that other authors might find minimal additional cost related to the laparoscopic approach if they used high-cost disposable devices, such as staplers, vessel-sealing devices [25], and ultrasonic shears, just as often for LDP as for ODP. A future perspective would be to reduce safely the length of operative times of LDP to attain a consequent decrement in the operating room costs.…”

Section: Discussionmentioning

confidence: 99%