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01-03-2013 | Original Article

LigaSure™ Vs. Conventional Dissection Techniques in Pancreatic Surgery—a Prospective Randomised Single-Centre Trial

Authors: Faik Guentac Uzunoglu, Maximilian Bockhorn, Judith Alexandra Fink, Matthias Reeh, Eik Vettorazzi, Karim Abdel Gawad, Dean Bogoevski, Yogesh Kumar Vashist, Tung Yu Tsui, Alexandra Koenig, Oliver Mann, Jakob Robert Izbicki

Published in: Journal of Gastrointestinal Surgery | Issue 3/2013

Abstract

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.

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Title: LigaSure™ Vs. Conventional Dissection Techniques in Pancreatic Surgery—a Prospective Randomised Single-Centre Trial
Authors: Faik Guentac Uzunoglu
Maximilian Bockhorn
Judith Alexandra Fink
Matthias Reeh
Eik Vettorazzi
Karim Abdel Gawad
Dean Bogoevski
Yogesh Kumar Vashist
Tung Yu Tsui
Alexandra Koenig
Oliver Mann
Jakob Robert Izbicki
Publication date: 01-03-2013
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 3/2013
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-012-2107-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

LigaSure™ Vs. Conventional Dissection Techniques in Pancreatic Surgery—a Prospective Randomised Single-Centre Trial

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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