Vessel sealing system vs. conventional knot-tying for hilar dissection during living donor hepatectomy: a prospective, randomized, double-blinded study

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dc.authoridBASKIRAN, ADIL/0000-0002-7536-1631
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridGunes, Orgun/0000-0002-0576-6086
dc.authorwosidBASKIRAN, ADIL/ABI-2356-2020
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidGunes, Orgun/GLN-4395-2022
dc.contributor.authorGunes, O.
dc.contributor.authorAkbulut, S.
dc.contributor.authorAtay, A.
dc.contributor.authorGonultas, F.
dc.contributor.authorTuncer, A.
dc.contributor.authorBaskiran, A.
dc.contributor.authorYilmaz, S.
dc.date.accessioned2024-08-04T20:53:04Z
dc.date.available2024-08-04T20:53:04Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstract- OBJECTIVE: LT has become the gold standard treatment for many liver diseases, especially chronic liver disease. A commonly seen problem, even in donors who do not develop any major complications after living donor hepatecto-my (LDH), is the persistent drainage of lymphatic fluid from the hepatectomy site drain, which causes extensive hospitalization and consequent loss to the workforce. To our knowledge, no study has yet been published comparing LVSS and conventional knot-tying methods for hilar dissection, which is an important stage of the LDH procedure. We aimed to prospectively compare the outcomes of these two treatment methods. PATIENTS AND METHODS: Donor candi-dates were divided into two groups: convention-al suture tying (conventional knot-tying group; n=34) and Ligasure vessel sealing system (LVSS; n=34). A simple randomization method of draw-ing lots was used to assign the patients to each group. The following parameters were analyzed for all patients: age, gender, BMI, duration of surgery, postoperative drainage amounts, drain removal times and complications, length of hos-pital stay, morbidity, and mortality. RESULTS: There were no significant differ-ences in terms of operative times, postoperative drainage levels, hospital stay or drain removal times. CONCLUSIONS: In this study, the use of LVSS in LDH was found to be safe, although it did not offer any advantage over conventional methods. Nevertheless, it seems probable that the use of LVSS could reduce operative time and amounts of lymphatic drainage, especially in centers with minimal experience with LDH, such as new LDH centers.en_US
dc.identifier.endpage6994en_US
dc.identifier.issn1128-3602
dc.identifier.issue19en_US
dc.identifier.pmid36263546en_US
dc.identifier.scopus2-s2.0-85140269031en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage6990en_US
dc.identifier.urihttps://hdl.handle.net/11616/100953
dc.identifier.volume26en_US
dc.identifier.wosWOS:000877188200016en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTransplantationen_US
dc.subjectLymphaticen_US
dc.subjectLigationen_US
dc.subjectHemostasisen_US
dc.subjectSeromasen_US
dc.titleVessel sealing system vs. conventional knot-tying for hilar dissection during living donor hepatectomy: a prospective, randomized, double-blinded studyen_US
dc.typeArticleen_US

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