Advanced sealing and dissecting devices in laparoscopic adrenal surgery.
JSLS
; 17(4): 622-6, 2013.
Article
em En
| MEDLINE
| ID: mdl-24398206
ABSTRACT
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Adrenalectomia
/
Eletrocoagulação
/
Eletrocirurgia
/
Procedimentos Cirúrgicos Ultrassônicos
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
JSLS
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Itália