Abstract:
Objective To evaluate the the efficacy and safety of LigasureTM Vessel Sealing System and conventional clamping method in gastric D2 lymphadenectomy.
Methods Patients undergoing gastric D2 lymphadenectomy were randomly divided into two groups treated with LigasureTM(n=45) and conventional method (n=41), Operation time, intraoperative blood loss, postoperative courses and complications were analyzed prospectively.
Results There were no hospital deaths. The operation time, intraoperative blood loss in LigasureTM group were significantly less than that in conventional operation (P<0.05). No significant differences were found between the two groups in number of lymph node removed, postoperative complications, time to pass flatus and hospital stay. The volume of intraperitoneal drainage in LigasureTM group were less than those in conventional group at the first day (P<0.05), but there was no significant difference from the 2nd to the 5th day after operation.
Conclusion The LigasureTM Vessel Sealing System is safe and effective for use in gastric D2 lymphadenectomy, and is associated with a shorter operation time and decreased blood loss compared with conventional surgery.
Key words:
Ligasure vessel sealing system,
Gastric carcinoma,
D2 lymphadenectomy
Bin YANG, Jun ZHOU, Shuang CHEN, Dong-ming LAI, Yu-chao ZHANG, Zhi-peng JIANG, Zhong-hua CHU. Randomized clinical trial of LigasureTM versus conventional surgery in radical resection of gastric carcinoma[J]. Chinese Archives of General Surgery(Electronic Edition), 2010, 04(05): 471-474.