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New technology for the division of short gastric vessels during laparoscopic Nissen fundoplication

A prospective randomized trial

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Abstract

Division of the short gastric vessels (SGV) is a standard component of laparoscopic Nissen fundoplications (LNF) at our institution. This study compares our original method of vessel control, multifire clip applier (MCA) and sharp division, to the Ultracision Harmonic Scalpel LCS (LCS). Twenty consecutive patients were evaluated in a randomized prospective fashion. Times for SGV division and estimated blood loss (EBL) were recorded. Cost data represent patient charges for use of either the MCA or LCS and the charge for operative time. Use of the LCS produced a significant reduction in the time required for SGV division and in the charges to the patient.

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Authors and Affiliations

  1. Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Drive, 03756, Lebanon, NH, USA

    W. S. Laycock

  2. Department of Surgery, Emory University Hospital, H124C, 1364 Clifton Rd, NE, 30322, Atlanta, GA, USA

    T. L. Trus & J. G. Hunter

Authors
  1. W. S. Laycock
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  2. T. L. Trus
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  3. J. G. Hunter
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Laycock, W.S., Trus, T.L. & Hunter, J.G. New technology for the division of short gastric vessels during laparoscopic Nissen fundoplication. Surg Endosc 10, 71–73 (1996). https://doi.org/10.1007/s004649910019

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  • DOI: https://doi.org/10.1007/s004649910019

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