Yekeler Erdal, Ulutas Hakki, Becerik Cevdet, Peker Kemal
Department of Thoracic Surgery, Erzurum Region Training and Research Hospital, Erzurum, Turkey.
Interact Cardiovasc Thorac Surg. 2010 Jul;11(1):10-4. doi: 10.1510/icvts.2009.222109. Epub 2010 Mar 5.
This study aimed to evaluate the efficacy of the LigaSure vessel sealing system (LVSS) when used for esophagectomy. We compared 56 consecutive patients (32 male and 24 female, mean age: 56.64+/-12.61 years), who had undergone Ivor-Lewis esophagectomy for esophageal carcinoma between January 2005 and May 2009. Among them, from January 2005 to April 2007, 27 patients (group 1) were operated on with the conventional clamp-and-tie technique, whereas from April 2007 to May 2009, 29 patients (group 2) underwent total esophagectomy for esophageal cancer with the LVSS. Both groups were compared for operation duration, amount of intraoperative bleeding, postoperative hospitalization time, and intraoperative complications. In the evaluation of the patients, the two groups had similar distributions of age and gender. The duration of operation (349.44+/-46.82 min vs. 288.27+/-60.09 min, P<0.05) and the amount of intraoperative bleeding (414.82+/-137.04 ml vs. 217.41+/-111.78 ml, P<0.05) were significantly lower in LVSS group than in the conventional method group. There were no differences for hospitalization time and intraoperative complications between the groups. LVSS significantly shortens operation duration and decreases the amount of intraoperative bleeding compared with the conventional methods, but does not provide advantages for hospitalization time and/or intraoperative complications. We believe LVSS is an effective and reliable method for esophagus surgery.
本研究旨在评估血管闭合系统（LVSS）用于食管癌切除术的疗效。我们比较了2005年1月至2009年5月间连续接受Ivor-Lewis食管癌切除术的56例患者（男性32例，女性24例，平均年龄：56.64±12.61岁）。其中，2005年1月至2007年4月，27例患者（第1组）采用传统的钳夹结扎技术进行手术，而2007年4月至2009年5月，29例患者（第2组）采用LVSS进行食管癌全切除术。比较两组的手术时间、术中出血量、术后住院时间和术中并发症。在患者评估中，两组年龄和性别分布相似。LVSS组的手术时间（349.44±46.82分钟对288.27±60.09分钟，P<0.05）和术中出血量（414.82±137.04毫升对217.41±111.78毫升，P<0.05）明显低于传统方法组。两组之间的住院时间和术中并发症无差异。与传统方法相比，LVSS显著缩短了手术时间并减少了术中出血量，但在住院时间和/或术中并发症方面没有优势。我们认为LVSS是一种有效且可靠的食管手术方法。
