A preclinical animal study of a novel, simple, and secure duct and vessel occluder for laparoscopic surgery

Szold, Amir; Miller, Arnold; Lilach, Nir; Botero-Anug, Ana-Maria; Miller, Raanan A.; Schwaitzberg, Steven D.

doi:10.1007/s00464-018-6052-0

Cited by 1 publication

(1 citation statement)

References 6 publications

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“…Operators mainly rely on thermal surgical modalities and topical sealants, such as ultrasonic dissectors, hemostasis clip, and gelatin matrix to achieve hemostasis in laparoscopic surgery (Hang et al 2015;Lattouf et al 2007). Second, the use of ultrasonic scalpel other than hemostasis clip to cut and close the main arteries and veins may lead to delayed intra-abdominal bleeding (Szold et al 2018). Third, open surgery tends to cause a higher degree of activation of the clotting system than laparoscopic surgery (Diamantis et al 2007).…”

Section: Discussionmentioning

confidence: 99%

Surgical and oncological efficacy of laparoscopic-assisted total gastrectomy versus open total gastrectomy for gastric cancer by propensity score matching: a retrospective comparative study

Fan

Liu

et al. 2021

J Cancer Res Clin Oncol

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Purpose The application of laparoscopic-assisted total gastrectomy (LATG) for resectable gastric cancer (GC) remains controversial compared with open total gastrectomy (OTG), especially for advanced gastric cancer (AGC) patients according to the inconsistent results demonstrated in the previous studies. The aim of this study was to evaluate the short-term and long-term outcomes between LATG and OTG in a population with more than 80% AGC patients by applying propensity score matching (PSM) method. Methods The data of 365 clinical stage I–III GC cases who underwent total gastrectomy with D2 lymphadenectomy were retrospectively collected from January 2011 to April 2018 in the Department of Gastrointestinal Surgery IV of Peking University Cancer Hospital. Propensity scores were generated through taking all covariates into consideration and 131 pairs of patients receiving either LATG or OTG were matched. Intraoperative, postoperative, and survival parameters were compared in the matched groups accordingly. Risk factors for postoperative complications and overall survival were further analyzed. Results Patient characteristics in the LATG and OTG groups were well balanced after PSM. LATG showed advantages with respect to shorter time to ambulation, first flatus, and first whole liquid diet intake. No significant differences were found between the two groups with regard to postoperative complications as well as overall survival in terms of different pathological stage. Older age was found as an independent risk factor for postoperative complications, and pathological stage for overall survival as well. Conclusion LATG appears to have comparable surgical and oncological safety with OTG by experienced surgeons.

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