101. The impact of the ultrasonic, bipolar and integrated energy devices in the adrenal gland surgery: Literature review and our experience
- Author
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Giovanni Conzo, Claudio Mauriello, Roberto Maria Romano, Antonio Vitiello, Ernesto Tartaglia, Luigi Flagiello, Claudia Andretta, Claudio Gambardella, Alessandra Conzo, R. Patrone, Clarizia Gugliemo, Chiara Offi, Patrone, Renato, Gambardella, Claudio, Romano, Roberto Maria, Gugliemo, Clarizia, Offi, Chiara, Andretta, Claudia, Vitiello, Antonio, Tartaglia, Ernesto, Flagiello, Luigi, Conzo, Alessandra, Mauriello, Claudio, Conzo, Giovanni, Patrone, R., Gambardella, C., Romano, R. M., Gugliemo, C., Offi, C., Andretta, C., Vitiello, A., Tartaglia, E., Flagiello, L., Conzo, A., Mauriello, C., and Conzo, G.
- Subjects
Male ,Adrenal Gland Neoplasms ,Blood Loss, Surgical ,Statistical difference ,Laparoscopic adrenalectomy ,Surgical Instrument ,Thunderbeat ,Harmonic Focus ,Harmonic Focu ,0302 clinical medicine ,Retrospective Studie ,Adrenal Glands ,Harmonic scalpel ,Medicine ,Ultrasonics ,Adrenal lesion ,Adrenal gland ,Dissection ,Adrenalectomy ,General Medicine ,Middle Aged ,Surgical Instruments ,Cost savings ,medicine.anatomical_structure ,Ultrasonic ,030220 oncology & carcinogenesis ,Female ,030211 gastroenterology & hepatology ,Human ,Research Article ,Adult ,medicine.medical_specialty ,Adrenal Gland ,Operative Time ,lcsh:Surgery ,Minimally invasive adrenalectomy ,Young Adult ,03 medical and health sciences ,Myelolipoma ,Humans ,Hemostatic devices ,Ligasure ,Aged ,Retrospective Studies ,business.industry ,Retrospective cohort study ,lcsh:RD1-811 ,Gold standard (test) ,Surgery ,Adrenal Gland Neoplasm ,Laparoscopy ,Hemostatic device ,business - Abstract
Background The gold standard approach for surgical treatment of benign and malignant adrenal lesion is considered the laparoscopic one, due to a lot of advantages compared to open approach. The rapid propagation of this surgical technique is due to the diffusion of haemostatic devices in laparoscopic adrenal surgery. The principal aim of this study is to analyze the outcome of LA using each energy modality, evaluating the eventual superiority of an instrument over the others. Methods A retrospective study, involving 75 consecutive patients submitted to LA by transperitoneal lateral approach from January 2013 to June 2017, was performed. Age less than 70 years old, adrenal adenomas less than 8 cm in diameter, incidentalomas 0.05). Significant statistical difference are detectable in operation time and intraoperative blood losses. Thunderbeat, compared respectively with Ligasure and Harmonic Scalpel, is the fastest device (p
- Published
- 2019