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首页> 外文期刊>The American Journal of Surgery >LigaSure versus conventional dissection technique in pancreatoduodenectomy: a pilot study.
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LigaSure versus conventional dissection technique in pancreatoduodenectomy: a pilot study.

机译:胰十二指肠切除术中LigaSure与传统解剖技术的比较:一项初步研究。

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摘要

BACKGROUND: Pancreatic surgery requires extensive preparation and tissue dissection. Therefore, LigaSure (Valleylab, Boulder, CO) provides an alternative to conventional dissection techniques. The aim of the present study was to describe the feasibility, safety, and cost efficiency of LigaSure in pancreatoduodenectomy. METHODS: Seven patients underwent surgery with the Ligasure and 7 patients underwent surgery with conventional dissection techniques. The patients were investigated for surgical time, intraoperative blood loss, complications, mortality, duration of hospital stay, and surgery-related costs. RESULTS: Surgical time was 207 minutes in the LigaSure group and 255 minutes in the conventional group (P = .020). Intraoperative blood loss was 271 and 771 mL, respectively (P = .010). Other perioperative outcomes were comparable. The respective surgery-related costs averaged euro4,125 and euro4,931 (P = .023). CONCLUSIONS: The use of LigaSure in pancreatoduodenectomy seems to be feasible and safe. In addition, it might lead to a reduction in the surgery-related costs.
机译:背景:胰腺手术需要广泛的准备和组织解剖。因此,LigaSure(Valleylab,Boulder,CO)提供了常规解剖技术的替代方法。本研究的目的是描述LigaSure在胰十二指肠切除术中的可行性,安全性和成本效益。方法:7例患者接受了Ligasure手术,7例患者进行了常规解剖技术。对患者进行了手术时间,术中失血量,并发症,死亡率,住院时间和手术相关费用的调查。结果:LigaSure组的手术时间为207分钟,常规组为255分钟(P = .020)。术中失血量分别为271和771 mL(P = .010)。其他围手术期结果是可比的。手术相关的平均费用分别为4,125欧元和4,931欧元(P = .023)。结论:在胰十二指肠切除术中使用LigaSure似乎是可行和安全的。另外,这可能导致手术相关费用的减少。

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