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Laparoscopic sigmoid and rectal resection using an electrothermal bipolar vessel sealing device
Jyrki Kössi1, Markku Luostarinen, Ilpo Kontula
1Department of Surgery, Päijät-Häme Central Hospital, Lahti, Finland. jyrki.kossi@phks.fi
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|December 27, 2007
Summary
The electrothermal bipolar vessel sealer (EBVS) is safe and effective for laparoscopic sigmoid and rectal resections. This device may reduce operative time in colonic surgery.
Area of Science:
- Surgical Technology
- Gastrointestinal Surgery
- Minimally Invasive Procedures
Background:
- Laparoscopic colonic resection is increasingly used for colonic diseases.
- The electrothermal bipolar vessel sealer (EBVS) can seal vessels up to 7 mm.
- Evaluating the EBVS for laparoscopic colonic surgery is crucial.
Purpose of the Study:
- To assess the suitability and safety of the EBVS for laparoscopic colonic surgery.
- To evaluate the device's performance in sigmoid and rectal resections.
Main Methods:
- Prospective analysis of 114 consecutive patients undergoing sigmoid or rectal resection.
- Intention to use EBVS for mesenterial vessel dissection and ligation.
- Recording and analyzing patient characteristics, operative, and postoperative outcomes.
Main Results:
- 113 out of 114 laparoscopic procedures were completed successfully.
- Mean operative time was 87.7 minutes.
- Patients tolerated solid food in 3.4 days and were discharged in 4.6 days.
Conclusions:
- The EBVS is a suitable and safe device for laparoscopic sigmoid and rectal resections.
- The use of EBVS likely contributes to reduced operative times.
