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Advanced sealing and dissecting devices in laparoscopic adrenal surgery.
Solaini, Leonardo; Arru, Luca; Merigo, Giulia; Tomasoni, Matteo; Gheza, Federico; Tiberio, Guido Alberto Massimo.
Afiliación
  • Solaini L; Surgical Clinic, Department of Medical and Experimental Sciences, University of Brescia, Pl.e Spedali Civili 1, Brescia, Italy. leonardosolaini@gmail.com.
  • Arru L; Surgical Clinic, Department of Medical and Experimental Sciences, University of Brescia, Brescia, Italy.
  • Merigo G; Surgical Clinic, Department of Medical and Experimental Sciences, University of Brescia, Brescia, Italy.
  • Tomasoni M; Surgical Clinic, Department of Medical and Experimental Sciences, University of Brescia, Brescia, Italy.
  • Gheza F; Surgical Clinic, Department of Medical and Experimental Sciences, University of Brescia, Brescia, Italy.
  • Tiberio GA; Surgical Clinic, Department of Medical and Experimental Sciences, University of Brescia, Brescia, Italy.
JSLS ; 17(4): 622-6, 2013.
Article en En | MEDLINE | ID: mdl-24398206
OBJECTIVES: This study sought to analyze the impact of advanced sealing/dissecting devices on operative and postoperative outcomes in laparoscopic adrenalectomy. METHOD: Patients were divided into three groups according to the devices used during their procedures [electrothermal bipolar vessel system (EBVS), ultrasound shears (US), and monopolar electrocautery (ME)]. A comparison of the perioperative outcomes was performed. RESULTS: Conversion rates and intraoperative and postoperative complication rates did not differ among the three groups. Major blood loss that required transfusion was registered in only two cases, all of which were performed with ME. Procedures with EBVS were shorter than those with US or ME. For left adrenalectomies only, operative times were similar for US and EBVS. The use of EBVS was found to be an independent predictor of decreased operative time. CONCLUSION: The use of advanced sealing devices was associated with reduced operative time, with particular benefits in left adrenalectomy. EBVS and US may provide better hemostasis than ME.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Adrenalectomía / Electrocoagulación / Electrocirugia / Procedimientos Quirúrgicos Ultrasónicos Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: JSLS Año: 2013 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Adrenalectomía / Electrocoagulación / Electrocirugia / Procedimientos Quirúrgicos Ultrasónicos Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: JSLS Año: 2013 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos