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Updated: Jun 18, 2026
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Application of Hemostatic Devices in Laparoscopic Hepatectomy
Published on: April 19, 2022
Energy-based hemostatic devices in laparoscopic adrenalectomy
Paola Vincenza Sartori1, Fabrizio Romano, Fabio Uggeri
11st Surgical Department, S. Gerardo Hospital, University of Milan Bicocca, Via Pergolesi 33, 20052, Monza, Italy. srtpvn@gmail.com
Langenbeck'S Archives of Surgery
|November 26, 2009
Summary
Laparoscopic adrenalectomy outcomes were similar between Ultracision and Ligasure devices. Left adrenalectomies had higher bleeding and complications, but obesity and tumor size did not contraindicate the procedure.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Endocrine Surgery
Background:
- Laparoscopic adrenalectomy is a standard procedure.
- Limited comparative data exists for hemostatic devices in this surgery.
- Factors like BMI and tumor size may influence outcomes.
Purpose of the Study:
- To compare outcomes of laparoscopic adrenalectomy using Ultracision versus Ligasure.
- To assess the impact of body mass index (BMI) and tumor size on the procedure.
- To identify potential advantages of specific hemostatic instruments.
Main Methods:
- A sequential cohort study of 46 patients undergoing laparoscopic adrenalectomy.
- Patients were divided into two groups based on hemostatic device: Ultracision (n=26) and Ligasure (n=20).
- Groups were matched for key demographic and clinical characteristics.
Main Results:
- No significant differences were found in operating time, blood loss, conversion rates, or morbidity between the two hemostatic devices.
- Left adrenalectomies were associated with increased blood loss (p=0.007) and complications (p=0.016) compared to right adrenalectomies.
- BMI and tumor size did not significantly impact surgical outcomes.
Conclusions:
- Obesity (BMI > 30) and large tumor size do not contraindicate laparoscopic adrenalectomy.
- Left-sided adrenalectomies present higher bleeding risks and morbidity.
- The choice of hemostatic device is a matter of surgeon preference.
