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Damar Mühürleme Sisteminin (LigaSure Impact™) Barsak Kapamada Kullanımı

Yıl 2018, Cilt: 1 Sayı: 1, 7 - 12, 01.07.2018

Öz

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. 

Kaynakça

  • 1. Pattana-arun J, Sooriprasoet N, Sahakijrungruang C, Tantiphlachiva K, Rojanasakul A. Closed vs ligasure hemorrhoidectomy: a prospective, randomized clinical trial. J Med Assoc Thai 2006; 89: 453-458
  • 2. Dilek ON, Yilmaz S, Degirmenci B, Sahin DA, Akbulut G, Dilek FH. The use of a vessel sealing system in thyroid surgery. Acta Chir Belg 2005; 105: 369-372.
  • 3. Hope WW, Burns JM, Newcomb WL, Heniford BT, Sing RF. Safety and efficacy of the electrothermal bipolar vessel sealer in trauma injury. Injury. 2009; 40: 564–566.
  • 4. Barbaros U, Dinccag A, Deveci U, Akyuz M, Tükenmez M, Erbil Y, Mercan S. Use of electrothermal vessel sealing with LigaSure™ device during laparoscopic splenectomy. Acta Chir Belg 2007; 107: 162-165.
  • 5. Şenel E, Akbıyık F, Atayurt HF, Tiryaki HT. Dissection of mesoappendix in laparoscopic appendectomy: a comparison of monopolar cautery and bipolar vessel sealing system. Turk J Med Sci 2010; 40: 757-760.
  • 6. Smulders JF, de Hingh I, Stavast J, Jackimowicz JJ. Exploring new technologies to facilitate laparoscopic surgery: creating intestinal anastomosis without sutures or staples using a radiofrequency-energy-driven bipolar fusion device. Surg Endosc 2007; 21: 2105–2109.
  • 7. http://www.ligasure.com/ligasure/pages.aspx?page=Products/Open/160291 signing date 31.03.2011.
  • 8. Diamantis T, Kontos M, Arvelakis A, Syroukis S, Koronarchis D, Papalois A, Agapitos E, Bastounis E, Lazaris A C. Comparison of monopolar electrocoagulation, bipolar electrocoagulation, Ultracision, and Ligasure. Surg Today 2006; 36: 908–913.
  • 9. Riegler M, Cosentini E. Update on LigaSure ©/Atlas© vessel sealing technology in general surgery. Eur Surg 2004; 36: 85–88.
  • 10. Romano F, Garancini M, Caprotti R, Bovo G, Conti M, Perego E, Uggeri F. Hepatic resection using a bipolar vessel sealing device: technical and histological analysis. HPB (Oxford) 2007; 9: 339-344.
  • 11. Constant DL, Slakey DP, Campeau RJ, Dunne JB. Laparoscopic nonanatomic hepatic resection employing the LigaSure device. JSLS 2005; 9: 35–38.
  • 12. Misra MC, Aggarwal S, Guleria S, Seenu V, Bhalla AP. Clipless and sutureless laparoscopic surgery for adrenal and extra-adrenal tumors. JSLS 2008; 12: 252–255.
  • 13. Yavuz N. Laparoscopic transperitoneal adrenalectomy using the LigaSure vessel sealing system. J Laparoendosc Adv Surg Tech A. 2005; 15: 591–595.
  • 14. Takada M, Ichihara T, Kuroda Y. Comparative study of electrothermal bipolar vessel sealer and ultrasonic coagulating shears in laparoscopic colectomy. Surg Endosc 2005; 19: 226–228.
  • 15. Santini M, Vicidomini G, Baldi A, Gallo G, Laperuta P, Busiello L, Di Marino MP, Pastore V. Use of an electrothermal bipolar tissue sealing system in lung surgery. Eur J Cardiothorac Surg 2006; 29: 226–230.
  • 16. Hagen B, Eriksson N, Sundset M. Randomised controlled trial of LigaSure™ versus conventional suture ligature for abdominal hysterectomy. BJOG 2005; 112: 968-970.
  • 17. Daskalopoulos G, Karyotis I, Heretis I, Delakas D. Electrothermal bipolar coagulation for radical prostatectomies and cystectomies: a preliminary case-controlled study. Int Urol Nephrol 2004; 36: 181-185.
  • 18. Elemen L, Yazir Y, Tugay M, Akay A, Aydin S, Yanar K, Ceylan S. LigaSureTM compared with ligatures and endoclips in experimental appendectomy: how safe is it? Pediatr Surg Int 2010; 26: 539–545.
  • 19. Hartwig W, Duckheim M, Strobel O, Dovzhanskiy D, Bergmann F, Hackert T, Büchler M W, Werner J. LigaSure for pancreatic sealing during distal pancreatectomy. World J Surg 2010; 34: 1066–1070.
  • 20. Schulze S, Krisitiansen VB, Hansen BF, Rosenberg J. Sealing of cystic duct with bipolar electrocoagulation. Surg Endosc 2002; 16: 342–344.
  • 21. Shamiyeh A, Schrenk P, Tulipan L, Vattay P, Bogners S, Wayand W. A new bipolar feedback controlled sealing system for closure of the cystic duct and artery. Surg Endosc 2002; 16: 812-813.
  • 22. Turial S, Engel V, Sultan T. Closure of the cystic duct during laparoscopic cholecystectomy in children using the LigaSure vessel sealing system. World J Surg 2011; 35: 212–216.
  • 23. Shields CE, Schechter DA, Tezlaf P, Baily AL, Dycus S, Cosgriff N. Method for creating ideal tissue fusion in soft-tissue structures using radio frequency energy (RF). Surg Technol Int 2004; 13: 49–55.
  • 24. Salameh JR, Schwartz JH, Hildebrandt DA. Can LigaSure seal and divide the small bowel? Am J Surg. 2006; 191: 791-793.
  • 25. Moreno-Sanz C, Picazo-Yeste J, Seoane-Gonzáles J, Manzanera-Díaz M, Tadeo-Ruiz G. Division of the small bowel with the LigaSure Atlas device during the right laparoscopic colectomy. J Laparoendosc Adv Surg Tech A. 2008; 18: 99-101.

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

Yıl 2018, Cilt: 1 Sayı: 1, 7 - 12, 01.07.2018

Öz

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

Kaynakça

  • 1. Pattana-arun J, Sooriprasoet N, Sahakijrungruang C, Tantiphlachiva K, Rojanasakul A. Closed vs ligasure hemorrhoidectomy: a prospective, randomized clinical trial. J Med Assoc Thai 2006; 89: 453-458
  • 2. Dilek ON, Yilmaz S, Degirmenci B, Sahin DA, Akbulut G, Dilek FH. The use of a vessel sealing system in thyroid surgery. Acta Chir Belg 2005; 105: 369-372.
  • 3. Hope WW, Burns JM, Newcomb WL, Heniford BT, Sing RF. Safety and efficacy of the electrothermal bipolar vessel sealer in trauma injury. Injury. 2009; 40: 564–566.
  • 4. Barbaros U, Dinccag A, Deveci U, Akyuz M, Tükenmez M, Erbil Y, Mercan S. Use of electrothermal vessel sealing with LigaSure™ device during laparoscopic splenectomy. Acta Chir Belg 2007; 107: 162-165.
  • 5. Şenel E, Akbıyık F, Atayurt HF, Tiryaki HT. Dissection of mesoappendix in laparoscopic appendectomy: a comparison of monopolar cautery and bipolar vessel sealing system. Turk J Med Sci 2010; 40: 757-760.
  • 6. Smulders JF, de Hingh I, Stavast J, Jackimowicz JJ. Exploring new technologies to facilitate laparoscopic surgery: creating intestinal anastomosis without sutures or staples using a radiofrequency-energy-driven bipolar fusion device. Surg Endosc 2007; 21: 2105–2109.
  • 7. http://www.ligasure.com/ligasure/pages.aspx?page=Products/Open/160291 signing date 31.03.2011.
  • 8. Diamantis T, Kontos M, Arvelakis A, Syroukis S, Koronarchis D, Papalois A, Agapitos E, Bastounis E, Lazaris A C. Comparison of monopolar electrocoagulation, bipolar electrocoagulation, Ultracision, and Ligasure. Surg Today 2006; 36: 908–913.
  • 9. Riegler M, Cosentini E. Update on LigaSure ©/Atlas© vessel sealing technology in general surgery. Eur Surg 2004; 36: 85–88.
  • 10. Romano F, Garancini M, Caprotti R, Bovo G, Conti M, Perego E, Uggeri F. Hepatic resection using a bipolar vessel sealing device: technical and histological analysis. HPB (Oxford) 2007; 9: 339-344.
  • 11. Constant DL, Slakey DP, Campeau RJ, Dunne JB. Laparoscopic nonanatomic hepatic resection employing the LigaSure device. JSLS 2005; 9: 35–38.
  • 12. Misra MC, Aggarwal S, Guleria S, Seenu V, Bhalla AP. Clipless and sutureless laparoscopic surgery for adrenal and extra-adrenal tumors. JSLS 2008; 12: 252–255.
  • 13. Yavuz N. Laparoscopic transperitoneal adrenalectomy using the LigaSure vessel sealing system. J Laparoendosc Adv Surg Tech A. 2005; 15: 591–595.
  • 14. Takada M, Ichihara T, Kuroda Y. Comparative study of electrothermal bipolar vessel sealer and ultrasonic coagulating shears in laparoscopic colectomy. Surg Endosc 2005; 19: 226–228.
  • 15. Santini M, Vicidomini G, Baldi A, Gallo G, Laperuta P, Busiello L, Di Marino MP, Pastore V. Use of an electrothermal bipolar tissue sealing system in lung surgery. Eur J Cardiothorac Surg 2006; 29: 226–230.
  • 16. Hagen B, Eriksson N, Sundset M. Randomised controlled trial of LigaSure™ versus conventional suture ligature for abdominal hysterectomy. BJOG 2005; 112: 968-970.
  • 17. Daskalopoulos G, Karyotis I, Heretis I, Delakas D. Electrothermal bipolar coagulation for radical prostatectomies and cystectomies: a preliminary case-controlled study. Int Urol Nephrol 2004; 36: 181-185.
  • 18. Elemen L, Yazir Y, Tugay M, Akay A, Aydin S, Yanar K, Ceylan S. LigaSureTM compared with ligatures and endoclips in experimental appendectomy: how safe is it? Pediatr Surg Int 2010; 26: 539–545.
  • 19. Hartwig W, Duckheim M, Strobel O, Dovzhanskiy D, Bergmann F, Hackert T, Büchler M W, Werner J. LigaSure for pancreatic sealing during distal pancreatectomy. World J Surg 2010; 34: 1066–1070.
  • 20. Schulze S, Krisitiansen VB, Hansen BF, Rosenberg J. Sealing of cystic duct with bipolar electrocoagulation. Surg Endosc 2002; 16: 342–344.
  • 21. Shamiyeh A, Schrenk P, Tulipan L, Vattay P, Bogners S, Wayand W. A new bipolar feedback controlled sealing system for closure of the cystic duct and artery. Surg Endosc 2002; 16: 812-813.
  • 22. Turial S, Engel V, Sultan T. Closure of the cystic duct during laparoscopic cholecystectomy in children using the LigaSure vessel sealing system. World J Surg 2011; 35: 212–216.
  • 23. Shields CE, Schechter DA, Tezlaf P, Baily AL, Dycus S, Cosgriff N. Method for creating ideal tissue fusion in soft-tissue structures using radio frequency energy (RF). Surg Technol Int 2004; 13: 49–55.
  • 24. Salameh JR, Schwartz JH, Hildebrandt DA. Can LigaSure seal and divide the small bowel? Am J Surg. 2006; 191: 791-793.
  • 25. Moreno-Sanz C, Picazo-Yeste J, Seoane-Gonzáles J, Manzanera-Díaz M, Tadeo-Ruiz G. Division of the small bowel with the LigaSure Atlas device during the right laparoscopic colectomy. J Laparoendosc Adv Surg Tech A. 2008; 18: 99-101.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi
Bölüm Orijinal Araştırma
Yazarlar

Nurullah Damburacı

Murat Güner Bu kişi benim

Barış Sevinç

Ömer Karahan

Yayımlanma Tarihi 1 Temmuz 2018
Kabul Tarihi 31 Mayıs 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 1 Sayı: 1

Kaynak Göster

EndNote Damburacı N, Güner M, Sevinç B, Karahan Ö (01 Temmuz 2018) Use of a vessel sealing system (LigaSure Impact™) in the sealing and division of the intestine. Ege Tıp Bilimleri Dergisi 1 1 7–12.

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