Electrothermal bipolar energy-based device in laparoscopic right colectomy: our experience

Area of Science:

• Minimally Invasive Surgery
• Surgical Technology
• Gastrointestinal Surgery

Background:

• Laparoscopic right colectomy is a standard procedure.
• Effective methods for vascular pedicle ligature and dissection are crucial for minimizing complications.

Purpose of the Study:

• To compare the effectiveness of ultrasonic coagulating shears (UCS) and electrothermal bipolar atlas (EBA) in laparoscopic right colectomy.
• To evaluate outcomes related to operative time, blood loss, and complications.

Main Methods:

• A comparative study of 89 patients undergoing laparoscopic right colectomy.
• Procedures were performed using either UCS (44 patients) or EBA (45 patients).
• Key outcomes including intraoperative bleeding, postoperative blood loss, operating time, complications, and hospital stay were analyzed.

Main Results:

• No mortality or major intraoperative complications were reported in either group.
• One conversion to open surgery occurred in each group.
• The EBA group showed statistically significant reductions in mean operating time (98.4 min vs. 122.7 min) and blood loss (115 mL vs. 220 mL) compared to the UCS group (P < 0.05).
• A duodenal perforation was noted as a major postoperative complication in the UCS group.

Conclusions:

• Both UCS and EBA are safe and effective for laparoscopic right colectomy.
• EBA demonstrated superior performance with significantly shorter operative times and reduced blood loss.
• EBA's effectiveness is attributed to its proficiency in vessel sealing and dissection during the procedure.