Splenic vessel control during laparoscopic splenectomy, ligasure, endoclips, or endo-GIA stapler: a comparative study

Faculty Medicine Year: 2022
Type of Publication: ZU Hosted Pages:
Authors:
Journal: The Egyptian Journal of Surgery Wolters Kluwer - Medknow Volume:
Keywords : Splenic vessel control during laparoscopic splenectomy,    
Abstract:
Background Laparoscopic splenectomy became the gold standard operation for many splenic disorders, successful completion of the operation depends to a large extent on splenic size and control of bleeding, which mostly occurs due to capsular tears during dissection or mal control of the splenic vessels. Splenic vessels could be controlled by ligasure, endoclips, or endo-GIA staplers. Patients and methods In all, 48 patients undergoing laparoscopic splenectomy were allocated into three groups according to the way we controlled the splenic vessels, each group had 16 patients. In group I, the ligasure was used for sealing splenic vessels; in group II endoclips were used for vessel control, and in group III endo-GIA stapler was used for control and transection of the splenic pedicle. Results All cases were completed by a laparoscope except one patient in group II who was converted due to uncontrolled bleeding; blood loss and postoperative drainage were significantly higher in the second group. Ligasure use made dissection easy and safe. Ligasure and endo-GIA staplers helped in reducing the operative time. Conclusion Ligasure and endo-GIA staplers are superior to endoclip application for the control of splenic vessels during laparoscopic splenectomy. Their combination helps in reducing the operative time. Keywords: endoclips, endo-GIA stapler, laparoscopic splenectomy, ligasure
   
     
 
       

Author Related Publications

  • Hazem Nour Abdelattef Ashry, "A comparative study on the effect of laparoscopic simulation on skill training in laparoscopic surgery", Wolters Kluwer - Medknow, 2017 More
  • Hazem Nour Abdelattef Ashry, "Oral cancer, our experience in improving quality of patient’s life", Marsland Press, 2017 More
  • Hazem Nour Abdelattef Ashry, "SIMULTANEOUS REPAIR OF BILATERAL INGUINAL HERNIA BY LICHTENSTEIN REPAIR VERSUS STOPPA OPERATION", IJAR, 2018 More
  • Hazem Nour Abdelattef Ashry, "Management strategies of grade I, II, III blunt pancreatic injuries: our center’s experience", Wolters Kluwer - Medknow, 2018 More
  • Hazem Nour Abdelattef Ashry, "THE VALUE OF PERFORMING EARLY TOTAL THYROIDECTOMY IN HASHIMOTO THYROIDITIS PATIENTS.", IJAR, 2018 More

Department Related Publications

  • Mohamed Ibrahim Abdul Hameed Elsayed, "Prognostic significance of the genetic and the immunohistochemical expression of epithelial-mesenchymal-related markers in colon cancer", IOS Press, 2017 More
  • Wael Mahmoud Ibrahim Abdullah, "تقسيم المرارة بالمنظار لعلاج الحصوات غير العادية نتيجة مضاعفات متلازمة Mirizzi Divided laparoscopic cholecystectomy for unusual gall stones complication of Mirizzi,s syndrome.", Journal Minim Invasive Surg, 2015 More
  • Mohamed Mahmoud Riad, "Bipartite laparoscopic cholecystectomy; new technique for avoiding biliary ducts injury in difficult cases.", Scientific Research, 2014 More
  • Zaky Abdelgawad Elsayed Ahmed Alam, "Anal wound and sphincter repair from under its floor by buried stitches", British journal of medicine and medical research, 2015 More
  • Gamal Mohamed Osman Hassan, "Feasibility of single-port laparoscopic appendectomy", egyptian liver journal, 2017 More
Tweet