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Radiofrequency is a secure and effective method for pancreatic transection in laparoscopic distal pancreatectomy: results of a randomized, controlled trial in an experimental model

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Radiofrequency is a secure and effective method for pancreatic transection in laparoscopic distal pancreatectomy: results of a randomized, controlled trial in an experimental model

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dc.contributor.author Dorcaratto, Dimitri es_ES
dc.contributor.author Burdío, Fernando es_ES
dc.contributor.author Fondevila, Dolors es_ES
dc.contributor.author Andaluz, Anna es_ES
dc.contributor.author Quesada, Rita es_ES
dc.contributor.author Poves, Ignasi es_ES
dc.contributor.author Cáceres, Marta es_ES
dc.contributor.author Mayol, Xavi es_ES
dc.contributor.author Berjano, Enrique es_ES
dc.contributor.author Grande, Luis es_ES
dc.date.accessioned 2020-04-22T08:00:46Z
dc.date.available 2020-04-22T08:00:46Z
dc.date.issued 2013 es_ES
dc.identifier.issn 0930-2794 es_ES
dc.identifier.uri http://hdl.handle.net/10251/141285
dc.description.abstract [EN] Postoperative pancreatic fistula (PPF) is the most frequent and serious complication after laparoscopic distal pancreatectomy (LDP). Our goal was to compare the performance, in terms of PPF prevention, and safety of a radiofrequency (RF)-assisted transection device versus a stapler device in a porcine LDP model. Thirty-two animals were randomly divided into two groups to perform LDP using a RF-assisted device (RF group; n = 16) and stapler device (ST group; n = 16) and necropsied 4 weeks after surgery. The primary endpoint was the incidence of PPF. Secondary endpoints were surgery/transection time, intra/postoperative complications/deaths, postoperative plasmatic amylase and glucose concentration, peritoneal liquid amylase and interleukin 6 (IL-6) concentrations, weight variations, and histopathological changes. Two clinical and one biochemical PPF were observed in the ST and RF groups respectively. Peritoneal amylase concentration was significantly higher in the RF group 4 days after surgery, but this difference was no longer present at necropsy. Both groups presented a significant decrease in peritoneal IL-6 concentration during the postoperative follow-up, with no differences between the groups. RF group animals showed a higher postoperative weight gain. In the histopathological exam, all RF group animals showed a common pattern of central coagulative necrosis of the parenchymal surface, surrounded by a thick fibrosis, which sealed main and secondary pancreatic ducts and was not found in ST group. The fibrosis caused by an RF-assisted device can be at least as safe and effective as stapler compression to achieve pancreatic parenchyma sealing in a porcine LDP model. es_ES
dc.description.sponsorship This work received financial support from the Spanish "Plan Nacional de I+D+I del Ministerio de Ciencia e Innovacion," Grant No. TEC2011-27133-C02-02. es_ES
dc.language Inglés es_ES
dc.publisher Springer-Verlag es_ES
dc.relation.ispartof Surgical Endoscopy es_ES
dc.rights Reserva de todos los derechos es_ES
dc.subject Distal pancreatectomy es_ES
dc.subject Laparoscopy es_ES
dc.subject Pancreatic fistula es_ES
dc.subject Radiofrequency es_ES
dc.subject.classification TECNOLOGIA ELECTRONICA es_ES
dc.title Radiofrequency is a secure and effective method for pancreatic transection in laparoscopic distal pancreatectomy: results of a randomized, controlled trial in an experimental model es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1007/s00464-013-2952-1 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/MICINN//TEC2011-27133-C02-01/ES/MODELADO TEORICO Y EXPERIMENTACION PARA TECNICAS ABLATIVAS BASADAS EN ENERGIAS/ es_ES
dc.rights.accessRights Cerrado es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Ingeniería Electrónica - Departament d'Enginyeria Electrònica es_ES
dc.description.bibliographicCitation Dorcaratto, D.; Burdío, F.; Fondevila, D.; Andaluz, A.; Quesada, R.; Poves, I.; Cáceres, M.... (2013). Radiofrequency is a secure and effective method for pancreatic transection in laparoscopic distal pancreatectomy: results of a randomized, controlled trial in an experimental model. Surgical Endoscopy. 27(10):3710-3719. https://doi.org/10.1007/s00464-013-2952-1 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.1007/s00464-013-2952-1 es_ES
dc.description.upvformatpinicio 3710 es_ES
dc.description.upvformatpfin 3719 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 27 es_ES
dc.description.issue 10 es_ES
dc.relation.pasarela S\255186 es_ES
dc.contributor.funder Ministerio de Ciencia e Innovación es_ES
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