The Use of LigaSure™ Does not Affect Histologic Margin Assessment in Pancreatoduodenectomy (PD) Specimens

Authors

  • Marco Del Chiaro Division of Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute. Stockholm, Sweden
  • John Blomberg Division of Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute. Stockholm, Sweden
  • Ralf Segersvärd Division of Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute. Stockholm, Sweden
  • Elena Rangelova Division of Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute. Stockholm, Sweden
  • Christoph Ansorge Division of Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute. Stockholm, Sweden
  • Caroline Verbeke Division of Pathology, Department of Laboratory Medicine; Karolinska Institute. Stockholm, Sweden

DOI:

https://doi.org/10.6092/1590-8577/2856

Keywords:

Pancreas, Pancreaticoduodenectomy, Reproductive Techniques

Abstract

Context LigaSureTM is considered safe in performing pancreaticoduodenectomy (PD). However, no data are available regarding the possible damage of tissues at the resection margins and the impact thereof on histologic margin assessment. Objective This study compares the degree of histologic damage to the resection margins when using LigaSureTM (Group 1) or traditional ligature (Group 2). Methods Both groups included 8 consecutive patients who underwent PD at Karolinska Institute in December 2013 (Group 1) or earlier (Group 2) by the same surgeon (M.D.C.). The quality of tissues at the circumferential margins was compared between both groups by scoring for three different kinds of damage: tissue fragmentation, hemorrhage, and cell damage. Results The mean score for fragmentation was 1.3 (Group 1) versus 1.7 (Group 2; P=0.1). For hemorrhage the mean score was 0.8 (Group 1) versus 1.5 (Group 2; P=0.04). The mean score for cell damage was 1.4 (Group 1) compared to 1.2 (Group 2; P=0.1). Conclusions LigaSureTM does not cause tissue damage that could affect histologic margin assessment in PD specimens.

Image: Tissues at the resection margin.

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Tissues at the resection margin

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Published

2014-11-28

How to Cite

Del Chiaro, M., Blomberg, J., Segersvärd, R., Rangelova, E., Ansorge, C., & Verbeke, C. (2014). The Use of LigaSure™ Does not Affect Histologic Margin Assessment in Pancreatoduodenectomy (PD) Specimens. JOP. Journal of the Pancreas, 15(6), 597–599. https://doi.org/10.6092/1590-8577/2856

Issue

Vol. 15 No. 6 (2014): November - p. 541-632

Section

ORIGINAL ARTICLES

License

As a member of Publisher International Linking Association, PILA, iMedPub Group’s JOP follows the Creative Commons Attribution License and Scholars Open Access publishing policies. Journal of the Pancreas is the Council Contributor Member of Council of Science Editors (CSE) and following the CSE slogan Education, Ethics, and Evidence for Editors.

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