Title: use of the new ultrasonically curved shear in pancreaticoduodenectomy for periampullary cancer.Authors: sohei satoi; hiroaki yanagimoto; hideyoshi toyokawa.Citation: j hepatobiliary pancreat sci (2011) 18:609¿614; doi 10.1007/s00534-011-0370-0.The aimed of this prospective study was to examine whether the use of the new ultrasonically curved shear (ucs) can reduce the number of surgical stitches, extent blood loss, and operation time in (pylorus-preserving) pancreaticoduodenectomy (pd) for periampullary cancer.From september 2009 to april 2010, 26 patients with periampullary cancer underwent pd, including pppd.The patients were divided into two groups: group a consisted of 13 consecutive cancer patients (male=10, female=3; mean age=64 years, age range=50-81 years) who underwent conventional pd.Group b consisted of 13 patients (male=8, female=5; mean age=72 years, age range=38-86 years) using the ucs for dissection.Ucs ¿ harmonic focus (ethicon) was used in the procedure.Reported complications included mean blood loss of 790 ml (range 239-1664 ml) (n=13) in which transfusion was performed to 7 patients; septic complications (n=2); and pancreatic fistula (n=5).In conclusion, the use of the new ucs in pd was safe procedure and associated with the economical benefit of fewer surgical stitches as well as with reduced blood loss and reduced operative time spent during the hilar part of pd.
|