Electrothermal bipolar vessel ligation improves operative time during laparoscopic total proctocolectomy: a large single-center experience

• Published in: Surgical endoscopy Vol. 30; no. 7; pp. 2840 - 2847
• Main Authors: Garfinkle, Richard, Boutros, Marylise, Hippalgaonkar, Neha, Maimon, Geva, da Silva, Giovanna, Potenti, Fabio, Wexner, Steven D.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.07.2016; Springer Nature B.V
• Subjects: Abdominal Surgery; Adenomatous Polyposis Coli - surgery; Adult; Colectomy - methods; Colonic Pouches; Colorectal surgery; Conversion to Open Surgery; Digestive System Surgical Procedures - methods; Electrocoagulation - methods; Endoscopy; Energy resources; Female; Gastroenterology; Gynecology; Hand-Assisted Laparoscopy; Hepatology; Humans; Ileostomy; Inflammatory Bowel Diseases - surgery; Intraoperative Complications - epidemiology; Laparoscopy; Laparoscopy - methods; Ligation - methods; Linear Models; Male; Medicine; Medicine & Public Health; Middle Aged; Operative Time; Ostomy; Postoperative Complications - epidemiology; Postoperative period; Proctocolectomy, Restorative - methods; Proctology; Regression analysis; Reoperation; Retrospective Studies; Sealing compounds; Surgeons; Surgery; Total proctocolectomy; Laparoscopy; Operative time; Vessel ligation; Electrothermal bipolar vessel sealers

Background Laparoscopic total proctocolectomy (TPC) with or without ileoanal pouch is a major operation for which the traditional benefits of laparoscopy were not immediately apparent, in part due to the longer operating times. The use of energy devices has been shown to improve operative outcomes f...