Damar Mühürleme Sisteminin (LigaSure Impact™) Barsak Kapamada Kullanımı

Abstract

Amaç: Çalışmanın amacı LigaSure Impact™ (LigaSure LF 4200) cihazının barsak kapama ve mühürlemedeki etkinliğini değerlendirmektir.

Gereç ve Yöntem: çalışmaya beş rektum kanseri, iki sağ kolon kanseri ve sol kolon kanseri, pancreas kanseri ve ileostomili birer hasta dahil edilmiştir. LigaSure Impact™ (LigaSure LF 4200) cihazı duodenum, jejunum, ileum, transvers ve sigmoid kolonun kesilmesinde lineer kesici stapler gibi kullanılmıştır.

Bulgular: hastaların yaşları 20-85 arasındadır. Cihaz kullanılarak toplam 20 barsak kesme işlemi gerçekleştirilmiştir. Mühürleme aşamasında hiç bir vakada başarısızlıkla karşılaşılmamıştır.   

Sonuç: Oldukça sınırlı bir çalışma popülasyonu olmasına ragmen çalışmamızın sonuçlarına dayanarak cihazın barsak kesme ve mühürlemede başarıyla kullanılabileceği gösterilmitir. Barsak için daha uygun cihazların geliştirilmesiyle birlikte kullanımı daha da yaygılaştırılabilir. 

Keywords

• LigaSure,ince barsak,kolon,damar mühürleme

Use of a vessel sealing system (LigaSure Impact™) in the sealing and division of the intestine

Abstract

Aim: To evaluate the efficiency of the LigaSure Impact™ (LigaSure LF 4200) device in the sealing and division of the intestine.

Material and Methods: The study included 13 patients (9 male, 4 female). The diagnosis was rectal cancer in 5 cases, gastric cancer in 3, right colon cancer in 2, left colon cancer in 1, and pancreatic cancer in 1; 1 case had ileostomy. The LigaSure Impact™ (LigaSure LF 4200) device was used as a linear cutting stapler in the resection of the duodenum, jejunum, ileum, and transverse and sigmoid colon.

Results: Ages of the patients ranged between 20-85 years. A total of 20 cutting procedures were performed with LigaSure (3 at duodenal, 4 at jejunal, 4 at ileal and 9 at the colonic level). There was no failure or complication in the sealing process. Division of the bowel with LigaSure is easy and safe for making a clean intestinal edge during the operation. Complications included urethral injury in 1 case during the operation and wound infection in the perineal region in 1 case; neither complication was related with thermal energy.

Conclusions: This issue needs further investigation. Our population was very small and there was no control group. However, our results showed that LigaSure can be used safely in the division and sealing of the intestine as a linear cutting stapler. The development of special devices for the intestine will make this process easier and contribute to its more frequent use

Keywords

• LigaSure,small bowel,kolon,sealing

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