Choi, Min-Gew; Oh, Seung Jong; Noh, Jae Hyung; Sohn, Tae Sung; Kim, Sung; Bae, Jae Moon
Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association
2014NA ; 17 ( 3 ) :556-61.
PMID : 24048759
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Choi, Min-Gew -
Oh, Seung Jong -
Noh, Jae Hyung -
Sohn, Tae Sung -
Kim, Sung -
Bae, Jae Moon -
ABSTRACT
BACKGROUND: Use of ultrasonically activated shears (UAS) is gaining popularity in open surgery but without concrete evidence. We conducted a prospectively randomized study to assess the efficacy of ultrasonic dissection in open gastrectomy for gastric cancer.
METHODS: Patients with gastric cancer who were to undergo gastrectomy with D2 lymph node dissection were enrolled and assigned to either the conventional surgery group (n?=?125) or the UAS group (n?=?128).
RESULTS: The mean operating time was significantly reduced in the UAS group (89.3?±?15.6?min) when compared to the conventional group (97.8?±?17.2?min; p?
CONCLUSIONS: The use of UAS in gastrectomy for gastric cancer was a safe and efficient method, especially in terms of reducing operating time for male patients.
Ultrasonically activated shears, Ultrasonic dissection, Gastrectomy, Gastric cancer, Gastric cancer surgery
MESH
Adult, Blood Loss, Surgical, Electrocoagulation/adverse effects/*methods, Female, Gastrectomy/adverse effects/*methods, Humans, Lymph Node Excision/methods, Male, Middle Aged, Operative Time, Postoperative Complications/epidemiology, Prospective Studies, Sex Factors, Stomach Neoplasms/pathology/*surgery, Ultrasonic Surgical Procedures/adverse effects/*methods
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