1186: Preliminary use of the Ensealtm System for Sealing of the Dorsal Venous Complex During Robotic Assisted Laparoscopic Prostatectomy

Lee, David I.; Lee, Justin T.; Shepherd, David; Abrahams, Harrison M.

doi:10.1016/s0022-5347(18)35331-x

Cited by 5 publications

(3 citation statements)

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“…Also Smaldone et al 18 report their experience with Enaseal during laparoscopic nephrectomy securing renal vessels with clips. Lee et al 19 in their preliminary experience describe efficacy of Enseal in achieving hemostasis of the dorsal venous complex in a series of robotic-assisted laparoscopic prostatectomy; it resulted as efficient as the stapler ligation. In our experience all the vessels sealed appeared to remain sealed and we didn't find situations where Enseal could not be used on the renal artery if it was correctly preoperatively selected and accurately isolated.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and safety of renal artery closure with advanced bipolar energy device during nephrectomy

et al. 2022

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Introduction: Many devices are available to control the renal pedicle during nephrectomy but the gold standard is still a matter of debate. Nanotechnology has evolved to include vessel-sealing systems; companies guarantee an efficacy for vessels until 7 mm. The aim of our study is to evaluate feasibility and safety of closure of the renal artery with radiofrequency energy during nephrectomy. Methods: We retrospectively evaluated consecutive patients undergoing nephrectomy between November 2016 and July 2020. Inclusion criteria were: renal artery diameter <7 mm and no significant arterial wall calcification. The EnSeal device was used in all cases for dissection, hemostasis and to secure the renal artery when feasible. Results: Overall 101 patients underwent nephrectomy, in 68 cases the radiofrequency alone was used to close the renal artery; in 45 patients during a laparoscopic procedure and in 23 during an open surgery. Conversion to open surgery was never necessary. No patients had major hemorrhagic complications. Mean operative time was 75 min, mean intraoperative blood loss was 85 ml. Overall 11 patients had postoperative complications, according to Clavien-Dindo: five grade I, three grade II, three grade III. Discussion: In our experience the closure of the renal artery with a radiofrequency energy device is a feasible and safe procedure. It allows a safe manipulation of the renal hilum, free from clips, which could limit surgeons’ maneuvers and be dislocated. We believe that a deep knowledge of the available technologies is fundamental for the surgeon and guarantees the best achievable results.

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Section: Discussionmentioning

confidence: 99%

Feasibility and safety of renal artery closure with advanced bipolar energy device during nephrectomy

et al. 2022

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“…Using millions of nanoparticles embedded into the instrument, the temperature regulation of the bipolar diathermy can be optimally controlled, minimizing collateral thermal spread and tissue damage, with effective sealing of vessels up to 7 mm in diameter. The safe use of the Enseal system has been reported in sealing the dorsal venous complex during robot‐assisted laparoscopic prostatectomy [15].…”

Section: Introductionmentioning

confidence: 99%

Nanotechnology in the Management of Prostate Cancer

et al. 2008

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“…These fused vessel walls can withstand more than seven times the normal systolic pressure. In urology, the Enseal device has been used to achieve haemostasis of the dorsal venous complex in laparoscopic radical prostatectomy and robotic‐assisted laparoscopic prostatectomy [2], reducing complications from urethral, sphincter and nerve damage. This minimizes the possibility of urinary incontinence and erectile dysfunction after surgery.…”

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confidence: 99%