A comparative study of laparoscopic extraperitoneal laparoscopy with the use of ultrasonically activated shears

Arash Rafii Tabrizi, Alexandra Camicas, Gwenael Ferron, Eliane Mery, Laurence Gladieff, Martine Delannes, Denis Querleu

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: We evaluated the use of the harmonic scalpel in reducing the occurrence of symptomatic lymphoceles and its related complications in paraaortic laparoscopic lymphadenectomies (PALLs). Study Design: All PALL that were performed at the Institut Claudius Regaud between January 2003 and June 2007 were included. Since January 2006, the harmonic scalpel has been used systematically for all lymphostasis. Lymphoceles that required treatment were recorded as a complication. Results: Ninety-eight patients were enrolled, 62 PALLs were performed with the standard technique (control group), and 36 PALLs were performed with the harmonic scalpel (study group). There were no differences regarding operating time, blood loss, median nodal yield, and duration of hospital stay. Seven patients of the control group vs none of the study group (P = .03) experienced a symptomatic lymphocele that required medical treatment; 4 patients had radiologic drainage, and 1 patient had surgical drainage. Conclusion: We demonstrate the efficacy of harmonic scalpel in reducing the occurrence of symptomatic lymphoceles in paraaortic extraperitoneal lymphadenectomy.

Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Volume201
Issue number4
DOIs
Publication statusPublished - Oct 2009

Fingerprint

Lymphocele
Lymph Node Excision
Laparoscopy
Drainage
Control Groups
Length of Stay
Therapeutics

Keywords

  • harmonic scalpel
  • lymphocele
  • paraaortic lymphadenectomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

A comparative study of laparoscopic extraperitoneal laparoscopy with the use of ultrasonically activated shears. / Tabrizi, Arash Rafii; Camicas, Alexandra; Ferron, Gwenael; Mery, Eliane; Gladieff, Laurence; Delannes, Martine; Querleu, Denis.

In: American Journal of Obstetrics and Gynecology, Vol. 201, No. 4, 10.2009.

Research output: Contribution to journalArticle

Tabrizi, Arash Rafii ; Camicas, Alexandra ; Ferron, Gwenael ; Mery, Eliane ; Gladieff, Laurence ; Delannes, Martine ; Querleu, Denis. / A comparative study of laparoscopic extraperitoneal laparoscopy with the use of ultrasonically activated shears. In: American Journal of Obstetrics and Gynecology. 2009 ; Vol. 201, No. 4.
@article{fe0ec3dbf8d44c278d968b1335072694,
title = "A comparative study of laparoscopic extraperitoneal laparoscopy with the use of ultrasonically activated shears",
abstract = "Objective: We evaluated the use of the harmonic scalpel in reducing the occurrence of symptomatic lymphoceles and its related complications in paraaortic laparoscopic lymphadenectomies (PALLs). Study Design: All PALL that were performed at the Institut Claudius Regaud between January 2003 and June 2007 were included. Since January 2006, the harmonic scalpel has been used systematically for all lymphostasis. Lymphoceles that required treatment were recorded as a complication. Results: Ninety-eight patients were enrolled, 62 PALLs were performed with the standard technique (control group), and 36 PALLs were performed with the harmonic scalpel (study group). There were no differences regarding operating time, blood loss, median nodal yield, and duration of hospital stay. Seven patients of the control group vs none of the study group (P = .03) experienced a symptomatic lymphocele that required medical treatment; 4 patients had radiologic drainage, and 1 patient had surgical drainage. Conclusion: We demonstrate the efficacy of harmonic scalpel in reducing the occurrence of symptomatic lymphoceles in paraaortic extraperitoneal lymphadenectomy.",
keywords = "harmonic scalpel, lymphocele, paraaortic lymphadenectomy",
author = "Tabrizi, {Arash Rafii} and Alexandra Camicas and Gwenael Ferron and Eliane Mery and Laurence Gladieff and Martine Delannes and Denis Querleu",
year = "2009",
month = "10",
doi = "10.1016/j.ajog.2009.05.026",
language = "English",
volume = "201",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "4",

}

TY - JOUR

T1 - A comparative study of laparoscopic extraperitoneal laparoscopy with the use of ultrasonically activated shears

AU - Tabrizi, Arash Rafii

AU - Camicas, Alexandra

AU - Ferron, Gwenael

AU - Mery, Eliane

AU - Gladieff, Laurence

AU - Delannes, Martine

AU - Querleu, Denis

PY - 2009/10

Y1 - 2009/10

N2 - Objective: We evaluated the use of the harmonic scalpel in reducing the occurrence of symptomatic lymphoceles and its related complications in paraaortic laparoscopic lymphadenectomies (PALLs). Study Design: All PALL that were performed at the Institut Claudius Regaud between January 2003 and June 2007 were included. Since January 2006, the harmonic scalpel has been used systematically for all lymphostasis. Lymphoceles that required treatment were recorded as a complication. Results: Ninety-eight patients were enrolled, 62 PALLs were performed with the standard technique (control group), and 36 PALLs were performed with the harmonic scalpel (study group). There were no differences regarding operating time, blood loss, median nodal yield, and duration of hospital stay. Seven patients of the control group vs none of the study group (P = .03) experienced a symptomatic lymphocele that required medical treatment; 4 patients had radiologic drainage, and 1 patient had surgical drainage. Conclusion: We demonstrate the efficacy of harmonic scalpel in reducing the occurrence of symptomatic lymphoceles in paraaortic extraperitoneal lymphadenectomy.

AB - Objective: We evaluated the use of the harmonic scalpel in reducing the occurrence of symptomatic lymphoceles and its related complications in paraaortic laparoscopic lymphadenectomies (PALLs). Study Design: All PALL that were performed at the Institut Claudius Regaud between January 2003 and June 2007 were included. Since January 2006, the harmonic scalpel has been used systematically for all lymphostasis. Lymphoceles that required treatment were recorded as a complication. Results: Ninety-eight patients were enrolled, 62 PALLs were performed with the standard technique (control group), and 36 PALLs were performed with the harmonic scalpel (study group). There were no differences regarding operating time, blood loss, median nodal yield, and duration of hospital stay. Seven patients of the control group vs none of the study group (P = .03) experienced a symptomatic lymphocele that required medical treatment; 4 patients had radiologic drainage, and 1 patient had surgical drainage. Conclusion: We demonstrate the efficacy of harmonic scalpel in reducing the occurrence of symptomatic lymphoceles in paraaortic extraperitoneal lymphadenectomy.

KW - harmonic scalpel

KW - lymphocele

KW - paraaortic lymphadenectomy

UR - http://www.scopus.com/inward/record.url?scp=70349305616&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70349305616&partnerID=8YFLogxK

U2 - 10.1016/j.ajog.2009.05.026

DO - 10.1016/j.ajog.2009.05.026

M3 - Article

VL - 201

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 4

ER -