Clipless hand-assisted laparoscopic total colectomy using Ligasure Atlas

The Kurume Medical Journal
Yasumi ArakiKazuo Shirouzu

Abstract

Hand-assisted laparoscopic total colectomy for ulcerative colitis has allowed less invasive operations in acute severe colitis and poor risk, and has not yet been widely applied for the reason of prolong the operating time in comparison with open surgery. We present the advantages of the use of the LigaSure Atlas vessel sealing for vascular control during laparoscopic surgery. A retrospective study was conducted to compare 15 patients who underwent hand-assisted laparoscopic total colectomy using an ultrasonic coagulator from January 1988 to September 2002 (US group) with 18 patients who were operated using LigaSure Atlas (LS group) from October 2002 to December 2003. There was no significant difference in the background factors of patients between both groups. The operating time was 225 +/- 58 min in the LS group and less than 280 +/- 105 min in the US group. Intraoperative blood loss was 91 +/- 22 ml in the LS group and less than 212 +/- 178 ml in the US group. Postoperative bleeding did not occur in the LS group, but occurred in 1 patient in the US group (6.6%) and this patient required re-operation. Postoperative seroma formation in the abdomen was found in 3 patients of the US group (20%). The procedure using LigaSure Atla...Continue Reading

Citations

Dec 27, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jyrki KössiMatti Laato
Mar 31, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Cem GezenMustafa Oncel
Mar 15, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Virinder Kumar BansalAmit Goswami
Aug 15, 2006·The Surgical Clinics of North America·Guillaume Martel, Robin P Boushey

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