Evaluation of a Novel Trocar-Site Closure Device in Laparoscopic Surgery
| Autor: | Song Soohwa, Jeong-Heum Baek, Youngbae Jeon, Lee Donghyuk, Kyoung-Won Han |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Laparoscopic surgery
Adult Male medicine.medical_specialty medicine.medical_treatment Operative Time Time efficiency Port site Trocar-site closure Body Mass Index Abdominal wall Outcome Assessment Health Care medicine Humans In patient Obesity Prospective Studies Colectomy Aged Proctectomy business.industry Abdominal Wall Suture Techniques Middle Aged Trocar site Colorectal surgery Surgery medicine.anatomical_structure Laparoscopic colorectal surgery Body mass inde Female Laparoscopy business Follow-Up Studies Research Article |
| Zdroj: | JSLS : Journal of the Society of Laparoscopic & Robotic Surgeons |
| ISSN: | 1938-3797 |
| Popis: | Background and Objectives: We evaluated the effectiveness and safety of EZ-CloseTM compared to those of hand suture for trocar-site closure according to obesity. Methods: Fifty-four cases of laparoscopic colorectal surgery were enrolled. For the same patient, the right port site was closed using EZ-CloseTM and left port site was closed by hand suture among cases with port-site diameter ≥10 mm. Cases switched to use of a conventional fascial closure device or with closure time 120 s were considered failures. Closure time was analyzed according to body mass index (BMI) and abdominal wall thickness (AWT). Results: The mean closure time was significantly shorter with EZ-CloseTM than with hand suture (87.9 ± 21.0 vs. 128.0 ± 59.0 s, p < 0.001). The number of failure cases was significantly lower with EZ-CloseTM than with hand suture (7 vs. 27, p < 0.001). The closure time of EZ-CloseTM was significantly shorter than that of hand suture in patients with BMI ≥ 25 and < 27 kg/m2 (n = 15, 85.9 ± 19.8 vs. 135.6 ± 67.9 s, p < 0.014) and ≥ 27 kg/m2 (n = 13, 85.1 ± 18.4 vs. 150.2 ± 70.6 s, p < 0.010). With respect to AWT, the closure time of EZ-CloseTM was significantly shorter than that of hand suture in patients with AWT ≥ 20 and < 26 mm (n = 12, 81.1 ± 11.5 vs. 142.3 ± 83.7 s, p = 0.023) and ≥ 26 mm (n = 17, 85.6 ± 22.6 vs. 160.2 ± 55.5, p < 0.001). No infection and herniation were detected in both trocar sites during the follow-up period (median 20.4 months). Conclusion: EZ-CloseTM could provide time efficiency in trocar-site closure, especially in obese patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|