A single-institution review of the absorbable clips used in laparoscopic colorectal and gallbladder surgery: Feasibility, safety, and effectiveness

被引：7

作者：

Feroci F. ^{[1
]}

Lenzi E. ^{[1
]}

Kröning K.C. ^{[1
]}

Scatizzi M. ^{[1
]}

机构：

[1] Department of General Surgery, Misericordia and Dolce Hospital, 59100 Prato, Po

来源：

Updates in Surgery | 2011年 / 63卷 / 2期

关键词：

Absorbable clip; Laparoscopic cholecystectomy; Laparoscopic colorectal surgery;

D O I：

10.1007/s13304-011-0059-6

中图分类号：

学科分类号：

摘要：

This retrospective study was conducted to examine the safety and effectiveness of polymeric absorbable clips in laparoscopic gallbladder and colorectal surgery. The prospectively maintained database review included all patients undergoing elective laparoscopic cholecystectomy and colorectal resection at the institution between November 2004 and December 2009. In each patient, absorbable clips were used as the only system of vascular and cystic duct ligation. Of the 911 patients who satisfied the inclusion criteria, 664 underwent laparoscopic cholecystectomy and 247 underwent laparoscopic colonic resection. No intra-operative or post-operative bleeding related to absorbable clip use occurred in either procedure. No bile duct injuries or cystic duct leakages were observed. There were no peri-operative deaths with either procedure. In this experience, absorbable clips demonstrated easy handling and high reliability. They provided safe hemostasis and permitted complete and adequate oncologic resection. © 2011 Springer-Verlag.

引用

页码：103 / 107

页数：4

共 30 条

[1]

Keus F., De Jong J.A., Gooszen H.G., Van Laarhoven C.J., Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis, Cochrane Database Syst Rev, 18, 4, (2006)

[2]

Schlinkert R.T., Laparoscopic-assisted right hemicolectomy, Dis Colon Rectum, 34, pp. 1030-1031, (1991)

[3]

A comparison of laparoscopically assisted and open colectomy for colon cancer, N Engl J Med, 350, 20, pp. 2050-2059, (2004)

[4]

Guillou Pierre J., Philip Q., Helen T., Joanne W., Jayne David G., Smith Adrian M.H., Heath Richard M., Brown Julia M., Et al., Short-term endpoints of conventional versus laparoscopic assisted surgery in patients with colorectal cancer (MRC CLASICC trial): Multicentre, randomised controlled trial, Lancet, 365, pp. 1718-1726, (2005)

[5]

Lacy A.M., Garcia-Valdecasas J.C., Delgado S., Castells A., Taura P., Pique J.M., Visa J., Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: A randomised trial, Lancet, 359, 9325, pp. 2224-2229, (2002)

[6]

Hazebroek E.J., COLOR: A randomized clinical trial comparing laparoscopic and open resection for colon cancer, Surgical Endoscopy, 16, 6, pp. 949-953, (2002)

[7]

Lindemann F., Geissler B., Hausser L., Witte J., Laparoscopically placed clips on the human cystic duct-an experimental comparison of dislocation between resorbable and titanium clips, Chirurg, 68, 3, pp. 244-246, (1997)

[8]

Klein R.D., Jessup G., Ahari F., Connolly R.J., Schwaitzberg S.D., Comparison of titanium and absorbable polymeric surgical clips for use in laparoscopic cholecystectomy, Surg Endosc, 8, 7, pp. 753-758, (1994)

[9]

Woods M.S., Shellito J.L., Santoscoy G.S., Hagan R.C., Kilgore W.R., Traverso L.W., Kozarek R.A., Brandabur J.J., Haun W.E., Frazee R., Anderson E., Page C.P., Mintz S.J., Cystic duct leaks in laparoscopic cholecystectomy, American Journal of Surgery, 168, 6, pp. 560-565, (1994)

[10]

Kennedy R.J., Clements W.D.B., Diamond T., Cystic duct laceration by metallic clips: A cautionary note, Br J Surg, 82, pp. 1540-1543, (1995)

← 1 2 3 →