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

  • 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
Published
2014-11-28
How to Cite
Del ChiaroM., BlombergJ., SegersvärdR., RangelovaE., AnsorgeC., & VerbekeC. (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

Copyright (c) 2014 Marco Del Chiaro, John Blomberg, Ralf Segersvärd, Elena Rangelova, Christoph Ansorge, Caroline Verbeke

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