Bipolar Coagulation versus Ultrasonic Dissection Devices in Laparoscopic Sleeve Gastrectomy | ||
| Ain Shams Journal of Surgery | ||
| Article 7, Volume 11, Issue 1, January 2018, Pages 49-52 PDF (175.05 K) | ||
| DOI: 10.21608/asjs.2018.299853 | ||
| Authors | ||
| Ahmed A Sabry; Saleh MY | ||
| Department of Surgery, Faculty of Medicine, Alexandria University, Egypt | ||
| Abstract | ||
| Laparoscopic sleeve gastrectomy (LSG) comprises the first choice for treating morbid obesity in many bariatric centers. In the era of modern laparoscopic techniques and minimally invasive surgery, tying and knots have a limited role. New devices as ultrasonic and electrothermal bipolar have evolved in order to achieve adequate haemostasis, tissue dissection and coagulation with reduced operating times. The aim of this study was to compare the usage of Ligasure as one of the electrothermal bipolar devices and Harmonic scalpel as one of the ultrasonic devices in devascularization of the greater curvature of the stomach during LSG as regard the operative time and intra-operative and postoperative complications. There were no statistically significant difference in the operative time and complications between both groups. The mean operative time in Ligasure group was 100.50±15.95 minutes and in Harmonic group mean 97.71±8.21 minutes. Both Ligasure and Harmonic provide the surgeon comfort, time saving, safety and efficacy in such a demanding operation. Choice between these two devices lies within the surgeon’s preference. | ||
| Keywords | ||
| Sleeve gastrectomy; bariatric surgery; Harmonic; Ligasure | ||
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