Vascular Ligation in Laparoscopic Radical Nephrectomy: Comparison of the Endo GIA Stapler and Hem-o-lok Polymer Clips
Journal Title: Üroonkoloji Bülteni - Year 2018, Vol 17, Issue 4
Abstract
Objective: Various techniques for vascular ligation are used during laparoscopic surgery. We aimed to compare the Endo GIA stapler and Hem-o-lok polymer clips in laparoscopic radical nephrectomy. Materials and Methods: The charts and costs were reviewed for all 56 patients who underwent laparoscopic radical nephrectomy at our institution from May 2014 to October 2017. Patients’ demographic characteristics, tumor size, blood loss, complications, operative time, and length of hospital stay were evaluated retrospectively. The obtained data were compared statistically. Results: Forty-six patients eligible for the study were divided into 2 groups according to the use of vascular staples or polymer clips. Amount of blood loss, postoperative drainage volume, and operative time were lower in cases using vascular stapler, while polymer clips were advantageous in terms of cost. Conclusion: Both techniques have advantages in terms of vascular ligation in laparoscopic radical nephrectomy. These techniques may be chosen based on surgeon preference or patient compatibility; however, it is more appropriate to use the material with which the surgeon is experienced.
Authors and Affiliations
Taha Numan Yıkılmaz, Erdem Öztürk, Meriç Doğan Güven, Nurullah Hamidi, Halil Başar
Keywords
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- EP ID EP437620
- DOI 10.4274/uob.1003
- Views 84
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