Outcomes of conventional and advanced energy devices in laparoscopic surgery: a systematic review.

IF 1.7 4区 医学 Q2 SURGERY
Melissa Abi Antoun, Andrea Etrusco, Vito Chiantera, Antonio Simone Laganà, Edwin Feghali, Aline Khazzaka, Guglielmo Stabile, Luigi Della Corte, Miriam Dellino, Zaki Sleiman
{"title":"Outcomes of conventional and advanced energy devices in laparoscopic surgery: a systematic review.","authors":"Melissa Abi Antoun, Andrea Etrusco, Vito Chiantera, Antonio Simone Laganà, Edwin Feghali, Aline Khazzaka, Guglielmo Stabile, Luigi Della Corte, Miriam Dellino, Zaki Sleiman","doi":"10.1080/13645706.2023.2274396","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Hemostasis is an important step in all surgical procedures. Mechanical methods of hemostasis have been gradually abandoned in favor of electrosurgery. The aim of this systematic review was to evaluate the effectiveness of electrosurgical instruments utilized in minimally invasive gynecological procedures.</p><p><strong>Material and methods: </strong>We performed a systematic review, including randomized controlled trials, prospective and retrospective studies, comparing the outcomes of different energy devices (EDs) used in laparoscopic gynecologic surgeries. We extracted data about blood loss (BL), mean operative time, post-operative pain, hospital stay and complications associated with each electrosurgical device.</p><p><strong>Results: </strong>We included 30 studies reporting comparative outcomes concerning conventional (bipolar and monopolar) and innovative EDs (Harmonic scalpel, LigaSure, Plasma kinetic gyrus, Thunderbeat, EnSeal, Marseal, Caiman and ALAN). New EDs were found to be more efficient in complex surgeries due to less intraoperative BL and shorter operative time. No significant decrease in hospital stay, post-operative pain or complications was found with the use of new energy instruments.</p><p><strong>Conclusions: </strong>Although new electrosurgical devices seem an appealing and safer option, there is still insufficient evidence for one vessel-sealing technology to be considered superior to another. Therefore, monopolar and conventional bipolar (CB) are still widely used in laparoscopic gynecology.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-12"},"PeriodicalIF":1.7000,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Minimally Invasive Therapy & Allied Technologies","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13645706.2023.2274396","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/2 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Hemostasis is an important step in all surgical procedures. Mechanical methods of hemostasis have been gradually abandoned in favor of electrosurgery. The aim of this systematic review was to evaluate the effectiveness of electrosurgical instruments utilized in minimally invasive gynecological procedures.

Material and methods: We performed a systematic review, including randomized controlled trials, prospective and retrospective studies, comparing the outcomes of different energy devices (EDs) used in laparoscopic gynecologic surgeries. We extracted data about blood loss (BL), mean operative time, post-operative pain, hospital stay and complications associated with each electrosurgical device.

Results: We included 30 studies reporting comparative outcomes concerning conventional (bipolar and monopolar) and innovative EDs (Harmonic scalpel, LigaSure, Plasma kinetic gyrus, Thunderbeat, EnSeal, Marseal, Caiman and ALAN). New EDs were found to be more efficient in complex surgeries due to less intraoperative BL and shorter operative time. No significant decrease in hospital stay, post-operative pain or complications was found with the use of new energy instruments.

Conclusions: Although new electrosurgical devices seem an appealing and safer option, there is still insufficient evidence for one vessel-sealing technology to be considered superior to another. Therefore, monopolar and conventional bipolar (CB) are still widely used in laparoscopic gynecology.

腹腔镜手术中传统和先进能量设备的效果:系统综述。
简介止血是所有外科手术的重要步骤。机械止血方法已逐渐被放弃,转而使用电外科手术。本系统综述旨在评估微创妇科手术中使用的电外科器械的有效性:我们进行了一项系统性综述,包括随机对照试验、前瞻性和回顾性研究,比较了腹腔镜妇科手术中使用的不同能量设备(ED)的效果。我们提取了与每种电外科设备相关的失血量(BL)、平均手术时间、术后疼痛、住院时间和并发症等数据:结果:我们纳入了 30 项研究,这些研究报告了传统(双极和单极)和新型电外科设备(Harmonic scalpel、LigaSure、Plasma kinetic gyrus、Thunderbeat、EnSeal、Marseal、Caiman 和 ALAN)的比较结果。研究发现,由于术中BL较少,手术时间较短,新的ED在复杂手术中效率更高。使用新型能量器械后,住院时间、术后疼痛或并发症并未明显减少:尽管新的电外科设备似乎是一种更有吸引力、更安全的选择,但目前仍没有足够的证据表明一种血管封堵技术优于另一种。因此,腹腔镜妇科仍广泛使用单极和传统双极(CB)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.80
自引率
5.90%
发文量
39
审稿时长
6-12 weeks
期刊介绍: Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信