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Ann Thorac Surg 2007;84:2076-2079. doi:10.1016/j.athoracsur.2007.04.119
© 2007 The Society of Thoracic Surgeons
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Atilla Eroglu
Nurettin Karaoglanoglu
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New Technology

The Use of the LigaSure Vessel Sealing System in Esophageal Cancer Surgery

Atilla Eroglu, MDa,*, Atila Turkyilmaz, MDa, Yener Aydin, MDa, Ali Fuat Erdem, MDb, Mahmut Tokurc, Nurettin Karaoglanoglu, MDd

a Department of Thoracic Surgery, Faculty of Medicine, Ataturk University, Turkey
b Department of Anesthesiology, Faculty of Medicine, Ataturk University, Turkey
c Department of Thoracic Surgery, Marasal Cakmak Military Hospital, Erzurum, Turkey
d Department of Thoracic Surgery, Ataturk Training and Research Hospital for Chest Disease and Chest Surgery, Ankara, Turkey

Accepted for publication April 30, 2007.

* Address correspondence to Dr Eroglu, Department of Thoracic Surgery, Faculty of Medicine, Ataturk University, Erzurum, 25240, Turkey (Email: atilaeroglu{at}hotmail.com).

Purpose: In this clinical study we investigated the use and results of the LigaSure Vessel Sealing Sytem (LVSS) (Valleylab, Boulder, CO) compared with conventional surgery in esophageal cancer resection.

Description: The LVSS (Valleylab) is a device with a hemostatic design frequently used in abdominal surgery. Sixty patients (n = 30 in each group) with esophageal cancer from a single center were evaluated to undergo esophagectomy using either the LVSS or conventional clamping methods. The main outcome measures (ie, operating time, intraoperative blood loss, and postoperative course) were then compared.

Evaluation: In resections performed using the LVSS, operation duration (307 ± 35 minutes vs 260 ± 35 minutes; p = 0.000), intraoperative blood loss (average 533 ± 211 mL vs 390 ± 256 mL; p = 0.022), and postoperative drainage volumes (abdomen, 70 ± 86 mL vs 40 ± 61 mL; p = 0.122; thorax, 690 ± 646 mL vs 540 ± 359 mL; p = 0.271) all decreased.

Conclusions: The LVSS is easy to use and a reliable method in esophageal cancer surgery. Compared with conventional hemostatic techniques a reduction in intraoperative and postoperative blood loss, and a shortening of operation duration were determined. We believe that the use of the LVSS in esophageal surgery will become even more widespread in the future.


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Invited commentary
Cameron Wright
Ann. Thorac. Surg. 2007 84: 2080. [Extract] [Full Text] [PDF]



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C. Wright
Invited commentary
Ann. Thorac. Surg., December 1, 2007; 84(6): 2080 - 2080.
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