AI Article Synopsis
- - The study aimed to evaluate the safety and effectiveness of vessel-sealing devices during pancreatectomy in 200 patients, comparing results from a group using these devices (VS group) with a historical control group.
- - Results showed that patients in the VS group experienced fewer blood transfusions, lower rates of surgical site infections, and shorter hospital stays compared to the control group, highlighting the benefits of these devices.
- - Overall, the findings indicate that energy sealing devices enhance surgical outcomes and reduce complications related to pancreatectomy, proving to be both safe and effective for pancreatic surgeries.
Article Abstract
Background/aims: We compared each vessel-sealing device to evaluate safety and efficacy for controlling surgical results in 200 patients undergoing pancreatectomy.
Methodology: Sixty-seven patients applied the hemostatic devices (VS group) consisted of LigaSure™ (LS) or the Harmonic ultrasonic dissector (USD). Results were compared with that of a historical control group (n=134).
Results: In pancreaticoduodenectomy, the prevalence of lymph node dissection was high in the VS group. Blood transfusion was significantly less frequent in the VS group than in the control group (p<0.01). The prevalence of surgical site infection and systemic complications was significantly lower in the VS group than in the control group (p<0.05). The duration of hospitalization was significantly shorter in the VS group than in the control group (p<0.01). In distal pancreatectomy, the prevalence of cutting stapler usage for transection was low in the VS group. Postoperative weight loss and the prevalence of surgical site infections was higher in the VS group than in the control group but were more frequently observed in the USD group than in the LS group.
Conclusions: Use of energy sealing devices improves surgical results and avoids pancreatectomy-related complications. These devices are safe and effective for use in pancreatic surgery.
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