TY - JOUR
T1 - Clipless laparoscopic restorative proctocolectomy using an electrothermal bipolar vessel sealer
AU - Hasegawa, Hirotoshi
AU - Watanabe, Masahiko
AU - Nishibori, Hideki
AU - Ishii, Yoshiyuki
AU - Kitajima, Masaki
PY - 2003/12/1
Y1 - 2003/12/1
N2 - Background: Recently, a new type of laparoscopic electrothermal bipolar vessel sealer (EBVS; LigaSure Atlas) was developed. The aim of the present study was to describe the feasibility and effectiveness of LigaSure Atlas in laparoscopic restorative proctocolectomy for patients with ulcerative colitis. Methods: Between January and December 2002, eight patients with ulcerative colitis underwent laparoscopic restorative proctocolectomy. The median age was 30 (range: 18-51) years and median follow up was 6 (range: 1-13) months. The entire procedure was performed using only LigaSure Atlas and diathermy, without using conventional hemoclips or ultrasonic coagulating shears. Results: There were no conversions to the open procedure. There were no intraoperative or postoperative hemorrhagic complications. The operative time was reduced by 40 min compared with the conventional laparoscopic procedure, and the cost was 350 US dollars less compared with the method using conventional hemoclips and ultrasonic coagulating shears. Conclusion: The laparoscopic restorative proctocolectomy using LigaSure Atlas is safe, feasible and cost-effective in selected patients with ulcerative colitis.
AB - Background: Recently, a new type of laparoscopic electrothermal bipolar vessel sealer (EBVS; LigaSure Atlas) was developed. The aim of the present study was to describe the feasibility and effectiveness of LigaSure Atlas in laparoscopic restorative proctocolectomy for patients with ulcerative colitis. Methods: Between January and December 2002, eight patients with ulcerative colitis underwent laparoscopic restorative proctocolectomy. The median age was 30 (range: 18-51) years and median follow up was 6 (range: 1-13) months. The entire procedure was performed using only LigaSure Atlas and diathermy, without using conventional hemoclips or ultrasonic coagulating shears. Results: There were no conversions to the open procedure. There were no intraoperative or postoperative hemorrhagic complications. The operative time was reduced by 40 min compared with the conventional laparoscopic procedure, and the cost was 350 US dollars less compared with the method using conventional hemoclips and ultrasonic coagulating shears. Conclusion: The laparoscopic restorative proctocolectomy using LigaSure Atlas is safe, feasible and cost-effective in selected patients with ulcerative colitis.
KW - Clipless laparoscopic surgery
KW - Electrothermal vessel sealer
KW - LigaSure Atlas
KW - Restorative proctocolectomy
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U2 - 10.1046/j.1443-1661.2003.t01-1-00264.x
DO - 10.1046/j.1443-1661.2003.t01-1-00264.x
M3 - Article
AN - SCOPUS:0345304453
VL - 15
SP - 320
EP - 322
JO - Digestive Endoscopy
JF - Digestive Endoscopy
SN - 0915-5635
IS - 4
ER -