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• W3085655920 abstract "This study aimed to compare the hem-o-lok polymeric clip (HC) and tri-staple (TS) methods used in dividing the splenic hilum in terms of results, and to reveal their superiority to each other.Medical records of patients undergoing elective laparoscopic splenectomy at the Ondokuz Mayis University Faculty of Medicine General Surgery Clinic between March 2011 and March 2020 were retrospectively analyzed. Forty-two laparoscopic splenectomy cases performed using hem-o-lok polymeric clip (HC) or tri-staple (TS) were included in this study. Demographic features, primary diagnoses, splenic size, intraoperative data and postoperative complications, as well as the clip and stapler prices used in the surgery were analyzed.The mean operative time was significantly longer for HC group than TS group (116.7 min vs. 87.6 min, p<0.05). The mean cost of surgical instruments used to divide the splenic hilum was significantly lower for HC group than TS group (34.1 usd vs. 165.4 usd, p<0.05). There was no postoperative mortality, with a morbidity rate 6 (26.1%) for TS group and 4 (21.1%) for HC group (p>0.05). No significant difference existed in the complication rates.In the HC group, the operation time was longer, but the surgical cost was significantly lower. There was no significant difference when comparing other perioperative results. Although both techniques can be applied safely, we would like to emphasize that hemostasis is the most important factor for good results.Hem-o-lok polymeric clip, Laparoscopic splenectomy, Tri-staple.Studio finalizzato a confrontare l’impiego di clip polimerica hem-o-lok (HC) con il tri-stapler (TS) utilizzati nella sezione-emostasi dell’ilo splenico in termini di risultati e di valutare la loro eventuale reciproca superiorità. Sono state analizzate retrospettivamente le cartelle cliniche dei pazienti sottoposti di elezione a splenectomia laparoscopica presso la Clinica di Chirurgia Generale della Facoltà di Medicina dell’Università di Ondokuz Mayis tra marzo 2011 e marzo 2020. Sono stati inclusi in questo studio quarantadue casi di splenectomia laparoscopica eseguiti con clip polimerica hem-o-lok (HC) o tri-stapler (TS), analizzando le caratteristiche demografiche, le diagnosi preoperatore, le dimensioni spleniche, i dati intraoperatori e le complicanze postoperatorie, nonché i prezzi di clip e pinzatrice utilizzati nella chirurgia. RISULTATI: il tempo operativo medio è stato significativamente più lungo per il gruppo HC rispetto al gruppo TS (116,7 min vs. 87,6 min, p <0,05). Il costo medio degli strumenti chirurgici utilizzati per dividere l’ilo splenico risulta significativamente inferiore per il gruppo HC rispetto al gruppo TS (34,1 usd vs. 165,4 usd, p <0,05). Non si è riscontrata mortalità postoperatoria, con un tasso di morbilità 6 (26,1%) per il gruppo TS e 4 (21,1%) per il gruppo HC (p> 0,05). Nessuna differenza significativa è stata rilevata nel tasso delle complicanze. CONCLUSIONI: Nel gruppo HC, il tempo di operazione è stato più lungo, ma il costo chirurgico è stato significativamente più basso. Non ci sono state differenze significative nel confronto con altri risultati perioperatori. Sebbene entrambe le tecniche possano essere applicate in modo sicuro, vorremmo sottolineare che l’emostasi è il fattore più importante per ottenere buoni risultati." @default.
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• W3085655920 date "2021-01-01" @default.
• W3085655920 modified "2023-10-12" @default.
• W3085655920 title "Comparision of Hem-o-lok polymeric clip and tri-staple in laparoscopic splenectomy." @default.
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