Electrothermal bipolar vessel sealing device vs. ultrasonic coagulating shears in laparoscopic colectomies: a comparative study

Campagnacci, Roberto; Sanctis, A. De; Baldarelli, M.; Rimini, Massimiliano; Lezoche, Giovanni; Guerrieri, Mario

doi:10.1007/s00464-006-9143-2

Cited by 86 publications

(68 citation statements)

References 13 publications

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“…Differences between the two reviewers were resolved by reexamination of the original article until consensus was attained about the study's data. This process yielded five papers [18][19][20][21][22] comparing the efficacy of EBVS and UE in terms of operative time and intraoperative blood loss in laparoscopic colorectal surgery. All the studies were read in their entirety to assess their appropriateness for inclusion in the metaanalysis.…”

Section: Methodsmentioning

confidence: 99%

“…Five studies [18][19][20][21][22] comparing EBVS with UE and fulfilling the inclusion criteria were identified ( Table 1). The trial of Hubner et al [20] was excluded from the final analysis because it provided inadequate data for statistical analysis.…”

Section: Characteristics Of the Trialsmentioning

confidence: 99%

“…As reported in Table 1, only two studies [21,22] were RCTs, whereas one study [19] was prospective and not randomized, and one study [18] was retrospective. Moreover, two studies reported intraoperative data with statistical analysis based on the surgical procedure performed.…”

Section: Characteristics Of the Trialsmentioning

confidence: 99%

“…Similarly, the patients of Takada et al [19] were divided in Takada (transverse colectomy) and Takada 2 (sigmoidectomy) groups. Campagnacci et al [18] reported data in terms of mean and p value but did not report standard deviations or standard error. In this case, following the indications mentioned in the Cochrane Handbook, the t test was used to estimate the standard deviation.…”

Section: Characteristics Of the Trialsmentioning

confidence: 99%

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Radiofrequency versus ultrasonic energy in laparoscopic colorectal surgery: a metaanalysis of operative time and blood loss

et al. 2012

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Background Various energy sources are available for tissue dissection and vessel sealing in laparoscopic colorectal surgery. The electrothermal bipolar vessel sealing system (EBVS) and ultrasonic energy (UE) devices are widely used to provide hemostatic dissection in laparoscopic procedures. Nevertheless, available evidencedbased data comparing their operative results still are scarce. This study conducted a metaanalysis of controlled clinical trials comparing EBVS and UE in terms of operative time and intraoperative blood losses in laparoscopic colorectal surgery Methods The MEDLINE and Embase databases were searched using medical subject headings and free text words. All randomized controlled trials (RCTs) and controlled clinical trials using EBVS and UE in laparoscopic colorectal surgery were considered for inclusion in the study. Random effects models were used in case of heterogeneity to obtain summary statistics for the overall difference in operating time and blood loss between instruments.Results Four studies comparing EBVS with UE for 397 patients (200 EBVS vs. 197 UE patients) were included in the study. The findings showed that EBVS was associated with a significantly shorter operative time and less intraoperative blood loss than UE (p \ 0.05). Conclusions The metaanalysis indicated that EBVS is associated with a shorter operative time and less blood loss than UE in laparoscopic colorectal surgery. However, these results should be interpreted with caution due to the high heterogeneity of the included trials and the limited number of studies with a high level of evidence. More adequately designed RCTs with a larger number of patients are required to confirm the results of this metaanalysis.

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Section: Methodsmentioning

confidence: 99%

Section: Characteristics Of the Trialsmentioning

confidence: 99%

Section: Characteristics Of the Trialsmentioning

confidence: 99%

Section: Characteristics Of the Trialsmentioning

confidence: 99%

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Radiofrequency versus ultrasonic energy in laparoscopic colorectal surgery: a metaanalysis of operative time and blood loss

et al. 2012

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“…Most data are derived from laparoscopic colon surgery, where it has been shown that high-energy power sources specifically adapted for endoscopic surgery reduce operative time and blood loss [66][67][68][69]. These data can be transferred to laparoscopic rectal cancer surgery.…”

Section: (100% [Strong Consensus]; Gor C: 100% [Strong Consensus])mentioning

confidence: 99%

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

et al. 2011

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Background The laparoscopic approach is increasingly applied in colorectal surgery. Although laparoscopic surgery in colon cancer has been proved to be safe and feasible with equivalent long-term oncological outcome compared to open surgery, safety and long-term oncological outcome of laparoscopic surgery for rectal cancer remain controversial. Laparoscopic rectal cancer surgery might be efficacious, but indications and limitations are not clearly defined. Therefore, the European Association for Endoscopic Surgery (EAES) has developed this clinical practice guideline. Methods An international expert panel was invited to appraise the current literature and to develop evidence-based recommendations. The expert panel constituted for a consensus development conference in May 2010. Thereafter, the recommendations were presented at the annual congress of the EAES in Geneva in June 2010 in a plenary session. A second consensus process (Delphi process) of the recommendations with the explanatory text was necessary due to the changes after the consensus conference. Results Laparoscopic surgery for extraperitoneal (midand low-) rectal cancer is feasible and widely accepted. The laparoscopic approach must offer the same quality of surgical specimen as in open surgery. Short-term outcomes such as bowel function, surgical-site infections, pain and hospital stay are slightly improved with the laparoscopic approach. Laparoscopic resection of rectal cancer is not

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Energy source instruments for laparoscopic colectomy

Tou

Malik

Wexner

et al. 2011

Cochrane Database of Systematic Reviews

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Electrothermal bipolar vessel sealing device vs. ultrasonic coagulating shears in laparoscopic colectomies: a comparative study

Abstract: In our laparoscopic colorectal experience, EBVS Ligasure has proven safe and effective in vessel sealing. Patients in whom this device was used had less blood loss and slight advantages in operating time and postoperative hospital stay.

Cited by 86 publications

References 13 publications

Radiofrequency versus ultrasonic energy in laparoscopic colorectal surgery: a metaanalysis of operative time and blood loss

Radiofrequency versus ultrasonic energy in laparoscopic colorectal surgery: a metaanalysis of operative time and blood loss

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

Energy source instruments for laparoscopic colectomy

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