TY - JOUR
T1 - New Tools for Laparoscopic Division of the Pancreas
T2 - A Comparative Animal Study
AU - Hanly, Eric J.
AU - Mendoza-Sagaon, Mario
AU - Hardacre, Jeffrey M.
AU - Murata, Kazunori
AU - Bunton, Tracie E.
AU - Herreman-Suquet, Karen
AU - Poulose, Benjamin K.
AU - Talamini, Mark A.
PY - 2004/4/1
Y1 - 2004/4/1
N2 - We tested the hypothesis that the pancreas can be safely divided laparoscopically using non-suture devices. Twelve pigs were randomized into 4 groups: 1) laparoscopic distal pancreatectomy (LDP) using an ultrasonic scalpel; 2) LDP using an ultrasonic scalpel with pancreatic stump suture reinforcement; 3) LDP using a 35-mm laparoscopic linear vascular stapler; 4) LDP using a prototype 35-mm radio-frequency laparoscopic linear vascular stapler. There were no serious complications related to distal pancreatectomy. All groups gained weight by postoperative day (POD) 14. Serum amylase, glucose, electrolytes and total bilirubin levels were measured preoperatively and on POD 1, 3, 7, and 14, and peripancreatic peritoneal fluid amylase levels were measured on POD 7 and 14; all remained normal in all groups. Fewer adhesions to the pancreatic stump were found in the ultrasonic scalpel groups as compared with the stapler groups. Ultrasonic dissection may be the superior means of laparoscopic transection of the pancreas.
AB - We tested the hypothesis that the pancreas can be safely divided laparoscopically using non-suture devices. Twelve pigs were randomized into 4 groups: 1) laparoscopic distal pancreatectomy (LDP) using an ultrasonic scalpel; 2) LDP using an ultrasonic scalpel with pancreatic stump suture reinforcement; 3) LDP using a 35-mm laparoscopic linear vascular stapler; 4) LDP using a prototype 35-mm radio-frequency laparoscopic linear vascular stapler. There were no serious complications related to distal pancreatectomy. All groups gained weight by postoperative day (POD) 14. Serum amylase, glucose, electrolytes and total bilirubin levels were measured preoperatively and on POD 1, 3, 7, and 14, and peripancreatic peritoneal fluid amylase levels were measured on POD 7 and 14; all remained normal in all groups. Fewer adhesions to the pancreatic stump were found in the ultrasonic scalpel groups as compared with the stapler groups. Ultrasonic dissection may be the superior means of laparoscopic transection of the pancreas.
KW - Laparoscopic distal pancreatectomy
KW - Laparoscopic linear stapler
KW - Laparoscopy
KW - Pancreatectomy
KW - Radio-frequency stapler
KW - Ultrasonic scalpel
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UR - http://www.scopus.com/inward/citedby.url?scp=2042497121&partnerID=8YFLogxK
M3 - Article
C2 - 15287601
AN - SCOPUS:2042497121
SN - 1530-4515
VL - 14
SP - 53
EP - 60
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
IS - 2
ER -