Ultrasonic surgical and electrosurgical system (USES) with conventional ultrasonic scalpel (CUS) in gastrectomy: a retrospective cohort study

Autor: Changqing Jing, Yuezhi Chen, Liang Shang, Jinshen Wang, Guodong Lian, Feng Tian, Yixue Shao, Yingnan Zhao, Jianwei Xuan, Leping Li
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Cost Effectiveness and Resource Allocation, Vol 20, Iss 1, Pp 1-6 (2022)
Druh dokumentu: article
ISSN: 1478-7547
DOI: 10.1186/s12962-022-00344-5
Popis: Abstract Background Harmonic ACE +7 Shears with Advanced Hemostasis is an upgraded ultrasonic device, an ultrasonic surgical and electrosurgical system (USES). The study aimed to evaluate the economic and clinical effectiveness of the USES compared with the conventional ultrasonic scalpel (CUS) in gastrectomy. Methods We conducted a single-center, retrospective cohort study using the electronic medical records in China. We collected intraoperative and postoperative data from gastric cancer patients who underwent the endoscope-assisted distal gastrectomy from 2018 to June 30, 2019. Procedure-related costs were estimated. We used linear regression by controlling a set of covariates to assess the effect of USES on outcomes. Result Out of 87 eligible patients, the USES group (40 patients) and CUS group (47 patients) were comparable in terms of age, medical history and stages of cancer. Compared with the CUS, the USES saved 4.27 hemoclips per person (95% CI 0.57–7.97, p
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