Comparision of Hem-o-lok polymeric clip and tri-staple in laparoscopic splenectomy

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dc.authoridBasoglu, Mahmut/0000-0003-3283-4483
dc.contributor.authorDerebey, Murat
dc.contributor.authorOzbalci, Gokhan Selcuk
dc.contributor.authorYuruker, Savas
dc.contributor.authorTarim, Ismail Alper
dc.contributor.authorKarabacak, Ufuk
dc.contributor.authorAkgun, Can
dc.contributor.authorMutlu, Vahit
dc.date.accessioned2024-10-26T18:09:25Z
dc.date.available2024-10-26T18:09:25Z
dc.date.issued2021
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractAIM: 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. MATERIAL AND METHODS: 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. RESULTS: The mean operative time was significantly longer for HC group than TS group (1167 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 (261%) for TS group and 4 (21.1%) for HC group (p>0.05). No significant difference existed in the complication rates. CONCLUSIONS: 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.
dc.identifier.endpage69
dc.identifier.issn0003-469X
dc.identifier.issn2239-253X
dc.identifier.issue1
dc.identifier.pmid32913144
dc.identifier.scopus2-s2.0-85103305684
dc.identifier.scopusqualityQ3
dc.identifier.startpage64
dc.identifier.urihttps://hdl.handle.net/20.500.12418/30094
dc.identifier.volume92
dc.identifier.wosWOS:000632229500011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherEdizioni Luigi Pozzi
dc.relation.ispartofAnnali Italiani Di Chirurgia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectHem-o-lok polymeric clip
dc.subjectLaparoscopic splenectomy
dc.subjectTri-staple
dc.titleComparision of Hem-o-lok polymeric clip and tri-staple in laparoscopic splenectomy
dc.typeArticle

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