178383

Ligasure versus EndoGIA Stapler for Hilar Vascular Control During Laparoscopic Splenectomy for Adult Chronic ITP

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Last updated: 05 Jan 2025

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Abstract

Background: The major procedural risk associated with laparoscopic splenectomy (LS) for adult chronic immune  thrombocytopenia  (ITP),  is  uncontrollable  intraoperative  bleeding,  requiring  conversion  to laparotomy. There are several methods of achieving hemostasis, including clips, sutures, Ligasure and EndoGIA stapler.   Patients and methods: Between April 2015 and May 2017, 32 adult patients with chronic ITP indicated for LS, were divided into two equal groups, according to the method of hilar vascular control (group 1, Ligasure Vessel Sealing System; group 2, EndoGIA stapler). The perioperative course was documented and the follow up data were recorded.   Results: Two patients (6.25%) were converted to open splenectomy. Four patients (12.5%) had persistent thrombocytopenia after surgery. The cost was higher in group B. No significant difference was found between both groups regarding post-operative complications.   Conclusion: For adult chronic ITP, both Ligasure and EndoGIA stapler are safe and effective for hilar vascular control during LS. The results are similar and comparable, but Ligasure is less costly than EndoGIA stapler.

DOI

10.21608/asjs.2018.178383

Keywords

Laparoscopic Splenectomy, Ligasure, EndoGIA stapler, Chronic ITP, hilar vascular control

Authors

First Name

Ahmed S. M.

Last Name

Omar

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

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Orcid

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First Name

Ahmed Ain

Last Name

Shoka

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

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Orcid

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First Name

Wadie

Last Name

Boshra

MiddleName

-

Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

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Volume

11

Article Issue

1

Related Issue

25663

Issue Date

2018-01-01

Receive Date

2021-06-17

Publish Date

2018-01-01

Page Start

10

Page End

16

Print ISSN

2090-7249

Online ISSN

3009-7509

Link

https://asjs.journals.ekb.eg/article_178383.html

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https://asjs.journals.ekb.eg/service?article_code=178383

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2

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Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

Ligasure versus EndoGIA Stapler for Hilar Vascular Control During Laparoscopic Splenectomy for Adult Chronic ITP

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Article

Created At

23 Jan 2023