The impact of the ultrasonic, bipolar and integrated energy devices in the adrenal gland surgery: Literature review and our experience
| Autor: | Giovanni Conzo, Claudio Mauriello, Roberto Maria Romano, Antonio Vitiello, Ernesto Tartaglia, Luigi Flagiello, Claudia Andretta, Claudio Gambardella, Alessandra Conzo, R. Patrone, Clarizia Gugliemo, Chiara Offi |
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| Přispěvatelé: | Patrone, Renato, Gambardella, Claudio, Romano, Roberto Maria, Gugliemo, Clarizia, Offi, Chiara, Andretta, Claudia, Vitiello, Antonio, Tartaglia, Ernesto, Flagiello, Luigi, Conzo, Alessandra, Mauriello, Claudio, Conzo, Giovanni, Patrone, R., Gambardella, C., Romano, R. M., Gugliemo, C., Offi, C., Andretta, C., Vitiello, A., Tartaglia, E., Flagiello, L., Conzo, A., Mauriello, C., Conzo, G. |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Adrenal Gland Neoplasms Blood Loss Surgical Statistical difference Laparoscopic adrenalectomy Surgical Instrument Thunderbeat Harmonic Focus Harmonic Focu 0302 clinical medicine Retrospective Studie Adrenal Glands Harmonic scalpel Medicine Ultrasonics Adrenal lesion Adrenal gland Dissection Adrenalectomy General Medicine Middle Aged Surgical Instruments Cost savings medicine.anatomical_structure Ultrasonic 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Human Research Article Adult medicine.medical_specialty Adrenal Gland Operative Time lcsh:Surgery Minimally invasive adrenalectomy Young Adult 03 medical and health sciences Myelolipoma Humans Hemostatic devices Ligasure Aged Retrospective Studies business.industry Retrospective cohort study lcsh:RD1-811 Gold standard (test) Surgery Adrenal Gland Neoplasm Laparoscopy Hemostatic device business |
| Zdroj: | BMC Surgery BMC Surgery, Vol 18, Iss S1, Pp 1-7 (2019) |
| Popis: | Background The gold standard approach for surgical treatment of benign and malignant adrenal lesion is considered the laparoscopic one, due to a lot of advantages compared to open approach. The rapid propagation of this surgical technique is due to the diffusion of haemostatic devices in laparoscopic adrenal surgery. The principal aim of this study is to analyze the outcome of LA using each energy modality, evaluating the eventual superiority of an instrument over the others. Methods A retrospective study, involving 75 consecutive patients submitted to LA by transperitoneal lateral approach from January 2013 to June 2017, was performed. Age less than 70 years old, adrenal adenomas less than 8 cm in diameter, incidentalomas 0.05). Significant statistical difference are detectable in operation time and intraoperative blood losses. Thunderbeat, compared respectively with Ligasure and Harmonic Scalpel, is the fastest device (p |
| Databáze: | OpenAIRE |
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