Abstract
BackgroundThis study investigated the results of the LigaSure Vessel Sealing System (LVSS), which has been routinely used in esophageal resections in our clinic since 2006.MethodsFor this purpose, 60 patients who underwent Ivor Lewis esophagectomy were included in the study. The results were compared with the patients who underwent stomach mobilising procedure and esophagectomy with conventional methods (conventional group) before 2006 and the patients who underwent LVSS (group of LigaSure) in surgical cases after 2006. The cases were compared particularly in terms of intraoperative bleeding, operative time, duration of postoperative hospital stay, intraoperative complications, mortality, and morbidity.ResultsOf the patients, 34 (% 56.6) were female and 26 (43.3%) were male, and the range of the age was between 33 and 78, and the mean age of the patients was 52.73 ± 11,617. While the amount of intraoperative bleeding was 321.864 ± 575.00 ml in the conventional group, this was found to be 370.31 ± 238.456 ml in the LigaSure group (p = 0.007). In the statistical evaluation of the operative time, the mean duration was determined as 310.00 ± 24.795 minutes in the conventional group, whereas it was determined as 265.16 ± 31.353 minutes in the LigaSure group (p = 0.001).ConclusionsThe use of LVSS was associated with a significant reduction in the operative time and the rate of intra-operative complications.
Highlights
This study investigated the results of the LigaSure Vessel Sealing System (LVSS), which has been routinely used in esophageal resections in our clinic since 2006
We investigated the effect of LVSS, which has been routinely used for the patients with esophageal cancer in our clinic since 2006, on the operative time, intraoperative blood loss and intraoperative complications, and LVSS has been compared retrospectively with methods for hemostasis and tissue dissection techniques, which we have been used conventionally before 2006, in terms of differences and benefits
In the statistical evaluation of the operative time, the mean duration was determined as 310.00 ± 24.795 minutes in the conventional group, whereas it was determined as 265.16 ± 31.353 minutes in the LigaSure group (p = 0.001)
Summary
This study investigated the results of the LigaSure Vessel Sealing System (LVSS), which has been routinely used in esophageal resections in our clinic since 2006. Surgical therapy remains as a main treatment method of esophageal cancer, and it is the best palliative procedure for the patients with dysphagia. The factors such as excessive intra-operative bleeding, blood transfusions, splenectomy procedures, and longer operative times lead to higher incidence of perioperative complications compared to extensive lymph node dissection [1]. One of them is the LigaSure Vessel Sealing System (LVSS). This advanced system is being used instead of surgical sutures, clips, and the other methods of vascular ligation and providing hemostasis. The vessels that are closed with this system have been reported to be resistant to pressure up to three times the normal systolic pressure [5,6,7]
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