LigaSure 与胰十二指肠切除术常规解剖技术的比较：一项初步研究。
LigaSure versus conventional dissection technique in pancreatoduodenectomy: a pilot study.
机构信息
Department of General, Abdominal and Transplant Surgery, Ruprecht-Karls-University of Heidelberg, Germany.
出版信息
Am J Surg. 2011 Feb;201(2):166-70. doi: 10.1016/j.amjsurg.2010.02.023.
BACKGROUND
Pancreatic surgery requires extensive preparation and tissue dissection. Therefore, LigaSure (Valleylab, Boulder, CO) provides an alternative to conventional dissection techniques. The aim of the present study was to describe the feasibility, safety, and cost efficiency of LigaSure in pancreatoduodenectomy.
METHODS
Seven patients underwent surgery with the Ligasure and 7 patients underwent surgery with conventional dissection techniques. The patients were investigated for surgical time, intraoperative blood loss, complications, mortality, duration of hospital stay, and surgery-related costs.
RESULTS
Surgical time was 207 minutes in the LigaSure group and 255 minutes in the conventional group (P = .020). Intraoperative blood loss was 271 and 771 mL, respectively (P = .010). Other perioperative outcomes were comparable. The respective surgery-related costs averaged €4,125 and €4,931 (P = .023).
CONCLUSIONS
The use of LigaSure in pancreatoduodenectomy seems to be feasible and safe. In addition, it might lead to a reduction in the surgery-related costs.
背景
胰腺手术需要广泛的准备和组织解剖。因此，LigaSure（瓦力拉，博尔德，CO）为传统的解剖技术提供了替代方案。本研究的目的是描述 LigaSure 在胰十二指肠切除术中的可行性、安全性和成本效益。
方法
7 例患者接受 LigaSure 手术，7 例患者接受传统解剖技术手术。对手术时间、术中出血量、并发症、死亡率、住院时间和手术相关费用进行调查。
结果
LigaSure 组手术时间为 207 分钟，传统组为 255 分钟（P =.020）。术中出血量分别为 271 和 771 mL（P =.010）。其他围手术期结果相当。手术相关费用分别为 4125 欧元和 4931 欧元（P =.023）。
结论
LigaSure 在胰十二指肠切除术中的应用似乎是可行和安全的。此外，它可能会降低手术相关费用。
Zotero 插件