Damar Mühürleme Sisteminin (LigaSure Impact™) Barsak Kapamada Kullanımı

Yıl 2018, Cilt: 1 Sayı: 1, 7 - 12, 01.07.2018

Nurullah Damburacı , Murat Güner Barış Sevinç , Ömer Karahan

Öz

Amaç: Çalışmanın amacı
LigaSure Impact™ (LigaSure LF
4200) cihazının barsak kapama ve mühürlemedeki etkinliğini değerlendirmektir.

Gereç ve Yöntem:
çalışmaya beş rektum kanseri, iki sağ kolon kanseri ve sol kolon kanseri, pancreas
kanseri ve ileostomili birer hasta dahil edilmiştir. LigaSure Impact™ (LigaSure LF 4200) cihazı duodenum, jejunum,
ileum, transvers ve sigmoid kolonun kesilmesinde lineer kesici stapler gibi
kullanılmıştır.

Bulgular: hastaların
yaşları 20-85 arasındadır. Cihaz kullanılarak toplam 20 barsak kesme işlemi
gerçekleştirilmiştir. Mühürleme aşamasında hiç bir vakada başarısızlıkla
karşılaşılmamıştır.   

Sonuç: Oldukça sınırlı
bir çalışma popülasyonu olmasına ragmen çalışmamızın sonuçlarına dayanarak
cihazın barsak kesme ve mühürlemede başarıyla kullanılabileceği gösterilmitir. Barsak
için daha uygun cihazların geliştirilmesiyle birlikte kullanımı daha da
yaygılaştırılabilir. 

Anahtar Kelimeler

LigaSure, ince barsak, kolon, damar mühürleme

Use of a vessel sealing system (LigaSure Impact™) in the sealing and division of the intestine

Öz

Aim: To evaluate the
efficiency of the LigaSure Impact™ (LigaSure
LF 4200) device in the sealing and division of the intestine.

Material and Methods:
The study included 13 patients (9 male, 4 female). The diagnosis was rectal
cancer in 5 cases, gastric cancer in 3, right colon cancer in 2, left colon
cancer in 1, and pancreatic cancer in 1; 1 case had ileostomy. The LigaSure Impact™ (LigaSure LF 4200)
device was used as a linear cutting stapler in the resection of the duodenum,
jejunum, ileum, and transverse and sigmoid colon.

Results: Ages of the
patients ranged between 20-85 years. A total of 20 cutting procedures were
performed with LigaSure (3 at duodenal, 4 at jejunal, 4 at ileal and 9 at the
colonic level). There was no failure or complication in the sealing process.
Division of the bowel with LigaSure is easy and safe for making a clean
intestinal edge during the operation. Complications included urethral injury in
1 case during the operation and wound infection in the perineal region in 1
case; neither complication was related with thermal energy.

Conclusions: This issue needs further
investigation. Our population was very small and there was no control group.
However, our results showed that LigaSure can be used safely in the division
and sealing of the intestine as a linear cutting stapler. The development of
special devices for the intestine will make this process easier and contribute
to its more frequent use

Anahtar Kelimeler

LigaSure, small bowel, kolon, sealing

Kaynakça

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