Clinical significance of vessel-sealing device usage for pancreatectomy: a retrospective cohort study.

Clinical significance of vessel-sealing device usage for pancreatectomy: a retrospective cohort study.
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胰腺切除术中使用血管封闭装置的临床意义：一项回顾性队列研究。

DOI：
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发表时间：
2014
期刊：
Hepato-gastroenterology
影响因子：
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通讯作者：
T. Nagayasu
T. Nagayasu
中科院分区：
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文献类型：
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作者：
A. Nanashima;Takafumi Abo;K. Takagi;H. Wada;J. Arai;M. Kunizaki;K. To;H. Takeshita;S. Hidaka;T. Nagayasu

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背景/目标 我们比较了每种血管封闭装置，以评估 200 名接受胰腺切除术的患者控制手术结果的安全性和有效性。 方法论 67 名患者使用的止血装置（VS 组）包括 LigaSure™ (LS) 或 Harmonic 超声解剖器 (USD)。结果与历史对照组（n=134）进行比较。 结果 在胰十二指肠切除术中，VS 组淋巴结清扫的发生率较高。 VS 组的输血频率显着低于对照组（p<0.01）。 VS 组手术部位感染和全身并发症的发生率显着低于对照组（p<0.05）。 VS 组的住院时间显着短于对照组（p<0.01）。在远端胰腺切除术中，VS 组使用切割吻合器进行横切的比例较低。 VS 组术后体重减轻和手术部位感染的发生率高于对照组，但 USD 组比 LS 组更常见。 结论 使用能量密封装置可以改善手术效果并避免胰腺切除术相关的并发症。这些设备在胰腺手术中使用是安全有效的。
BACKGROUND/AIMS We compared each vessel-sealing device to evaluate safety and efficacy for controlling surgical results in 200 patients undergoing pancreatectomy. METHODOLOGY Sixty-seven patients applied the hemostatic devices (VS group) consisted of LigaSure™ (LS) or the Harmonic ultrasonic dissector (USD). Results were compared with that of a historical control group (n=134). RESULTS In pancreaticoduodenectomy, the prevalence of lymph node dissection was high in the VS group. Blood transfusion was significantly less frequent in the VS group than in the control group (p<0.01). The prevalence of surgical site infection and systemic complications was significantly lower in the VS group than in the control group (p<0.05). The duration of hospitalization was significantly shorter in the VS group than in the control group (p<0.01). In distal pancreatectomy, the prevalence of cutting stapler usage for transection was low in the VS group. Postoperative weight loss and the prevalence of surgical site infections was higher in the VS group than in the control group but were more frequently observed in the USD group than in the LS group. CONCLUSIONS Use of energy sealing devices improves surgical results and avoids pancreatectomy-related complications. These devices are safe and effective for use in pancreatic surgery.