Randomized clinical trial comparing the cost and effectiveness of bipolar vessel sealers <i>versus</i> clips and vascular staplers for laparoscopic colorectal resection

Adamina, Michel; Champagne, Brad; Hoffman, L.; Ermlich, M. B.; Delaney, Conor P.

doi:10.1002/bjs.7679

Cited by 22 publications

(14 citation statements)

References 28 publications

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“…Multiple investigators have evaluated the safety of vessel sealing and dividing devices in close proximity to vital structures as well as the temperature of sealed tissues . Previous articles describing clinical trials have reported device‐related thermal injuries with vessel sealing and dividing devices, such as ureter injury, small bowel perforations, colonic perforations, and vascular injury . Similar to the findings in the present study, Dunay et al reported that the surface temperature at the sealing site of a vessel sealing and dividing device reached 69.25°C ± 0.98°C.…”

Section: Discussionsupporting

confidence: 85%

Vessel sealer and divider instrument temperature during laparoscopic ovariectomy in horses

et al. 2017

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Despite the instrument temperatures observed during unilateral laparoscopic ovariectomy, surgical complications were minimal. The clinical relevance of the increase in instrument tip temperature of the vessel sealer and divider is presently unclear, but surgeons should use the instrument with caution, especially in close proximity to viscera. The increase in temperature observed at the tip of the vessel sealer and divider during unilateral ovariectomy could be associated with morbidity. The clinical relevance of instrument tip heating during other procedures, such as adhesiolysis and intestinal resection, is unknown and should be evaluated.

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Section: Discussionsupporting

confidence: 85%

Vessel sealer and divider instrument temperature during laparoscopic ovariectomy in horses

et al. 2017

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“…Marcello and al [21] Conversion to open surgery representing 11.5% of surgeries was not significant between the two groups. Similar rates are found in the literature [18,22]. Targarona and al [5] reported however that conversion to other endoscopic techniques was higher in the conventional electrosurgery group.…”

supporting

confidence: 84%

“…The outbreak of those new energized vessel sealing systems in colorectal surgery has been one of the major innovative steps forward of the last years, reducing blood loss and operating time [17][18][19]. In this study, we found a significant shorter operating time (mean difference of 53 minutes in favor of EVSS).…”

Section: Discussionmentioning

confidence: 50%

Energy vessel sealing systems versus mechanical ligature of the inferior mesenteric artery in laparoscopic sigmoidectomy

Trilling

Riboud

Abba³

et al. 2016

Int J Colorectal Dis

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“…These devices expedite normally labor-intensive surgical procedures such as lobectomy, 1,2 nephrectomy, 3 gastric bypass, 4-6 splenectomy, 7,8 thyroidectomy, [9][10][11][12][13][14] hysterectomy, 15 and colectomy. [16][17][18][19] However, both electrosurgical and ultrasonic devices have limitations, including the potential for undesirable charring and unnecessarily large collateral thermal damage zones. [20][21][22] For example, more thermal energy is required to seal large blood vessels with such devices, and stray thermal energy escaping the seal area can lead to unintended lateral tissue thermal damage.…”

mentioning

confidence: 99%

Infrared laser thermal fusion of blood vessels: preliminaryex vivotissue studies

et al. 2013

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Abstract. Suture ligation of blood vessels during surgery can be time-consuming and skill-intensive. Energy-based, electrosurgical, and ultrasonic devices have recently replaced the use of sutures and mechanical clips (which leave foreign objects in the body) for many surgical procedures, providing rapid hemostasis during surgery. However, these devices have the potential to create an undesirably large collateral zone of thermal damage and tissue necrosis. We explore an alternative energy-based technology, infrared lasers, for rapid and precise thermal coagulation and fusion of the blood vessel walls. Seven near-infrared lasers (808, 980, 1075, 1470, 1550, 1850 to 1880, and 1908 nm) were tested during preliminary tissue studies. Studies were performed using fresh porcine renal vessels, ex vivo, with native diameters of 1 to 6 mm, and vessel walls flattened to a total thickness of 0.4 mm. A linear beam profile was applied normal to the vessel for narrow, full-width thermal coagulation. The laser irradiation time was 5 s. Vessel burst pressure measurements were used to determine seal strength. The 1470 nm laser wavelength demonstrated the capability of sealing a wide range of blood vessels from 1 to 6 mm diameter with burst strengths of 578 AE 154, 530 AE 171, and 426 AE 174 mmHg for small, medium, and large vessel diameters, respectively. Lateral thermal coagulation zones (including the seal) measured 1.0 AE 0.4 mm on vessels sealed at this wavelength. Other laser wavelengths (1550, 1850 to 1880, and 1908 nm) were also capable of sealing vessels, but were limited by lower vessel seal pressures, excessive charring, and/or limited power output preventing treatment of large vessels (>4 mm outer diameter). © The Authors. Published by SPIE under a Creative Commons Attribution 3.0 Unported License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.

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Randomized clinical trial comparing the cost and effectiveness of bipolar vessel sealers versus clips and vascular staplers for laparoscopic colorectal resection

Abstract: BVS devices are expedient and cost-efficient in proctectomy, left and total colectomy procedures.

Cited by 22 publications

References 28 publications

Vessel sealer and divider instrument temperature during laparoscopic ovariectomy in horses

Vessel sealer and divider instrument temperature during laparoscopic ovariectomy in horses

Energy vessel sealing systems versus mechanical ligature of the inferior mesenteric artery in laparoscopic sigmoidectomy

Infrared laser thermal fusion of blood vessels: preliminaryex vivotissue studies

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