LigaSure™ vs. conventional dissection techniques in pancreatic surgery--a prospective randomised single-centre trial.
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LigaSure™ vs. conventional dissection techniques in pancreatic surgery--a prospective randomised single-centre trial. / Uzunoglu, Faik Guentac; Bockhorn, Maximilian; Fink, Judith Alexandra; Reeh, Matthias; Vettorazzi, Eik; Gawad, Karim Abdel; Bogoevski, Dean; Vashist, Yogesh Kumar; Tsui, Tung Yu; Koenig, Alexandra; Mann, Oliver; Izbicki, Jakob Robert.
In: J GASTROINTEST SURG, Vol. 17, No. 3, 3, 2013, p. 494-500.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - LigaSure™ vs. conventional dissection techniques in pancreatic surgery--a prospective randomised single-centre trial.
AU - Uzunoglu, Faik Guentac
AU - Bockhorn, Maximilian
AU - Fink, Judith Alexandra
AU - Reeh, Matthias
AU - Vettorazzi, Eik
AU - Gawad, Karim Abdel
AU - Bogoevski, Dean
AU - Vashist, Yogesh Kumar
AU - Tsui, Tung Yu
AU - Koenig, Alexandra
AU - Mann, Oliver
AU - Izbicki, Jakob Robert
PY - 2013
Y1 - 2013
N2 - BACKGROUND: Surgical procedures in pancreatic surgery are well established, but still involve time-consuming manual dissection. We compared the use of LigaSure with conventional dissection techniques in pancreatic surgery in a prospective randomised single-centre trial (registration number: NCT00850291).METHODS: Patients with tumours of the pancreatic head that were assumed to be technically resectable were randomised to LigaSure or conventional surgery. The primary endpoint of this study was overall operation time. Secondary endpoints were preparation time until tumour resection, intraoperative blood loss, number of given units of packed red blood cells, costs of surgery, postoperative morbidity, length of hospital stay and mortality.RESULTS: There was no difference in overall operation time between the two groups (P = 0.227). Median costs for pancreatic surgery were significantly less in the conventional group with €3,047 (range 2,004-5,543) vs. €3,527 (range 2,516-5,056, P = 0.009). Preparation time, intraoperative blood loss, number of units of packed red blood cells, postoperative morbidity, length of hospital stay and mortality did not differ between the two groups.CONCLUSION: Our data indicate that the LigaSure device is equivalent to conventional dissection modalities in pancreatic surgery.
AB - BACKGROUND: Surgical procedures in pancreatic surgery are well established, but still involve time-consuming manual dissection. We compared the use of LigaSure with conventional dissection techniques in pancreatic surgery in a prospective randomised single-centre trial (registration number: NCT00850291).METHODS: Patients with tumours of the pancreatic head that were assumed to be technically resectable were randomised to LigaSure or conventional surgery. The primary endpoint of this study was overall operation time. Secondary endpoints were preparation time until tumour resection, intraoperative blood loss, number of given units of packed red blood cells, costs of surgery, postoperative morbidity, length of hospital stay and mortality.RESULTS: There was no difference in overall operation time between the two groups (P = 0.227). Median costs for pancreatic surgery were significantly less in the conventional group with €3,047 (range 2,004-5,543) vs. €3,527 (range 2,516-5,056, P = 0.009). Preparation time, intraoperative blood loss, number of units of packed red blood cells, postoperative morbidity, length of hospital stay and mortality did not differ between the two groups.CONCLUSION: Our data indicate that the LigaSure device is equivalent to conventional dissection modalities in pancreatic surgery.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Blood Loss, Surgical
KW - Dissection
KW - Erythrocyte Transfusion
KW - Female
KW - Health Care Costs
KW - Humans
KW - Male
KW - Middle Aged
KW - Operative Time
KW - Pancreatic Neoplasms
KW - Preoperative Care
KW - Statistics, Nonparametric
KW - Time Factors
KW - Treatment Outcome
U2 - 10.1007/s11605-012-2107-z
DO - 10.1007/s11605-012-2107-z
M3 - SCORING: Journal article
C2 - 23250820
VL - 17
SP - 494
EP - 500
JO - J GASTROINTEST SURG
JF - J GASTROINTEST SURG
SN - 1091-255X
IS - 3
M1 - 3
ER -