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Table of Contents
Vol. 29, No. 5, 2012
Issue release date: January 2013
Section title: Original Paper
Dig Surg 2012;29:420–425
(DOI:10.1159/000345581)

Harmonic Scalpel versus Conventional Dissection Technique in Pylorus-Preserving Partial Duodenopancreatectomy

Heverhagen A.E. · Dietzel K. · Waldmann J. · Langer P. · Fendrich V. · Bartsch D.K.
Department of Visceral, Thoracic and Vascular Surgery, Philipps University Marburg, Marburg, Germany

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: March 29, 2012
Accepted: October 25, 2012
Published online: December 13, 2012
Issue release date: January 2013

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: http://www.karger.com/DSU

Abstract

Background/Aims: Pancreatic head resection is performed with low mortality, but morbidity remains high. Extensive preparation, long operating times, intraoperative blood loss and the need for blood transfusions are risk factors for postoperative morbidity. The aim of our study was to evaluate the feasibility and safety of the ultrasonic dissection device in pylorus-preserving duodenopancreatectomy (PPPD). Methods: Fifty consecutive patients who underwent PPPD with an ultrasonic dissection device (group 1) were compared with a match-controlled group of 50 consecutive patients who underwent PPPD with conventional dissection techniques (group 2). Duration of surgery, intraoperative blood loss, blood units, complications, mortality and duration of hospital stay were analyzed. Results: There was no difference in age, gender or BMI between groups. In group 1, mean blood loss (446 ± 281.8 ml, p = 0.008) and number of blood units (0.32 ± 0.86, p = 0.001) were significantly lower than in group 2 (819 ± 915.4 ml; 1.36 ± 2.83 units). Duration of surgery was shorter in group 1 (345.6 vs. 373 min, p = 0.28). The rate of postoperative complications, mortality and hospital stay were not significantly different. Conclusions: Use of an ultrasonic dissection device in PPPD might significantly reduce intraoperative blood loss and the need for blood transfusions. These results should be verified in a prospective randomized controlled trial.

© 2012 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: March 29, 2012
Accepted: October 25, 2012
Published online: December 13, 2012
Issue release date: January 2013

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: http://www.karger.com/DSU


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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