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Major vessel sealing in laparoscopic surgery for colorectal cancer: a single-center experience with 759 patients

BACKGROUND: Efficient hemostatic techniques are essential in laparoscopic surgery for ideal intraoperative and postoperative results. A variety of advanced devices are available for the sealing of major vascular structures. The aim of this study is to assess effectiveness and safety of major vessel...

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Autores principales: Grieco, Michele, Apa, Daniela, Spoletini, Domenico, Grattarola, Emanuela, Carlini, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984822/
https://www.ncbi.nlm.nih.gov/pubmed/29859101
http://dx.doi.org/10.1186/s12957-018-1402-x
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author Grieco, Michele
Apa, Daniela
Spoletini, Domenico
Grattarola, Emanuela
Carlini, Massimo
author_facet Grieco, Michele
Apa, Daniela
Spoletini, Domenico
Grattarola, Emanuela
Carlini, Massimo
author_sort Grieco, Michele
collection PubMed
description BACKGROUND: Efficient hemostatic techniques are essential in laparoscopic surgery for ideal intraoperative and postoperative results. A variety of advanced devices are available for the sealing of major vascular structures. The aim of this study is to assess effectiveness and safety of major vessel sealing with a radiofrequency device during laparoscopic colorectal resections for cancer based on the experience of a single hospital. METHODS: Early outcomes of a consecutive series of patients who received elective laparoscopic colorectal resections for cancer over a 10-year period (January 2008–September 2017) are analyzed. In all procedures, the Ligasure® electrothermal bipolar device was used for the closure of the major colonic vessels and the dissection of all the structures. No other products such clips, staplers, hemostatic products, or other devices were used. RESULTS: Seven-hundred fifty-nine procedures were performed in laparoscopy: 179 rectal resections, 247 sigmoidectomies and left hemicolectomies, 240 right hemicolectomies, 33 resections of the splenic flexure, 35 transverse colonic resections, and 25 other procedures. In 39 cases, the laparoscopic procedure was converted to open surgery, and in these cases, vessel sealing was also achieved with the radiofrequency device alone. Vessel dissection and sealing was realized in all cases without any intraoperative or postoperative bleeding. No reoperations for bleeding from major vessels were performed in any patients. One case of reoperation was recorded postoperatively, at 3 h after right hemicolectomy, due to a small bleeding from the fat of the transverse colon stump. CONCLUSIONS: The use of Ligasure® radiofrequency device for sealing and dividing the major colonic vessels is safe, fast, and effective during laparoscopic colorectal resections.
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spelling pubmed-59848222018-06-07 Major vessel sealing in laparoscopic surgery for colorectal cancer: a single-center experience with 759 patients Grieco, Michele Apa, Daniela Spoletini, Domenico Grattarola, Emanuela Carlini, Massimo World J Surg Oncol Technical Innovations BACKGROUND: Efficient hemostatic techniques are essential in laparoscopic surgery for ideal intraoperative and postoperative results. A variety of advanced devices are available for the sealing of major vascular structures. The aim of this study is to assess effectiveness and safety of major vessel sealing with a radiofrequency device during laparoscopic colorectal resections for cancer based on the experience of a single hospital. METHODS: Early outcomes of a consecutive series of patients who received elective laparoscopic colorectal resections for cancer over a 10-year period (January 2008–September 2017) are analyzed. In all procedures, the Ligasure® electrothermal bipolar device was used for the closure of the major colonic vessels and the dissection of all the structures. No other products such clips, staplers, hemostatic products, or other devices were used. RESULTS: Seven-hundred fifty-nine procedures were performed in laparoscopy: 179 rectal resections, 247 sigmoidectomies and left hemicolectomies, 240 right hemicolectomies, 33 resections of the splenic flexure, 35 transverse colonic resections, and 25 other procedures. In 39 cases, the laparoscopic procedure was converted to open surgery, and in these cases, vessel sealing was also achieved with the radiofrequency device alone. Vessel dissection and sealing was realized in all cases without any intraoperative or postoperative bleeding. No reoperations for bleeding from major vessels were performed in any patients. One case of reoperation was recorded postoperatively, at 3 h after right hemicolectomy, due to a small bleeding from the fat of the transverse colon stump. CONCLUSIONS: The use of Ligasure® radiofrequency device for sealing and dividing the major colonic vessels is safe, fast, and effective during laparoscopic colorectal resections. BioMed Central 2018-06-01 /pmc/articles/PMC5984822/ /pubmed/29859101 http://dx.doi.org/10.1186/s12957-018-1402-x Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Technical Innovations
Grieco, Michele
Apa, Daniela
Spoletini, Domenico
Grattarola, Emanuela
Carlini, Massimo
Major vessel sealing in laparoscopic surgery for colorectal cancer: a single-center experience with 759 patients
title Major vessel sealing in laparoscopic surgery for colorectal cancer: a single-center experience with 759 patients
title_full Major vessel sealing in laparoscopic surgery for colorectal cancer: a single-center experience with 759 patients
title_fullStr Major vessel sealing in laparoscopic surgery for colorectal cancer: a single-center experience with 759 patients
title_full_unstemmed Major vessel sealing in laparoscopic surgery for colorectal cancer: a single-center experience with 759 patients
title_short Major vessel sealing in laparoscopic surgery for colorectal cancer: a single-center experience with 759 patients
title_sort major vessel sealing in laparoscopic surgery for colorectal cancer: a single-center experience with 759 patients
topic Technical Innovations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984822/
https://www.ncbi.nlm.nih.gov/pubmed/29859101
http://dx.doi.org/10.1186/s12957-018-1402-x
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