Vascular Ligation in Laparoscopic Radical Nephrectomy: Comparison of the Endo GIA Stapler and Hem-o-lok Polymer Clips

• Published in: Üroonkoloji bülteni Vol. 17; no. 4; pp. 124 - 126
• Main Authors: Yıkılmaz, Taha Numan, Öztürk, Erdem, Güven, Meriç Doğan, Hamidi, Nurullah, Başar, Halil
• Format: Journal Article
• Language: English; Turkish
• Published: Istanbul Üroonkoloji Derneği 01.12.2018; Galenos Publishing House
• Subjects: Hemorrhage; Laparoscopy; Laparotomy; Length of stay; Patients; Polymers; Statistical analysis; Surgery; Sutures; Tıp; Titanium; Tumors; Veins & arteries; İstanbul; Türkiye; laparoscopic; stapler; Nephrectomy; clips; ligation
• ISSN: 2147-2122; 2147-2270
• DOI: 10.4274/uob.1003

Objective: Various techniques for vascular ligation are used during laparoscopic surgery. We aimed to compare the Endo GIA stapler and Hem-o-lok polymer clips in laparoscopic radical nephrectomy. Materials and Methods: The charts and costs were reviewed for all 56 patients who underwent laparoscopic radical nephrectomy at our institution from May 2014 to October 2017. Patients’ demographic characteristics, tumor size, blood loss, complications, operative time, and length of hospital stay were evaluated retrospectively. The obtained data were compared statistically. Results: Forty-six patients eligible for the study were divided into 2 groups according to the use of vascular staples or polymer clips. Amount of blood loss, postoperative drainage volume, and operative time were lower in cases using vascular stapler, while polymer clips were advantageous in terms of cost. Conclusion: Both techniques have advantages in terms of vascular ligation in laparoscopic radical nephrectomy. These techniques may be chosen based on surgeon preference or patient compatibility; however, it is more appropriate to use the material with which the surgeon is experienced.