Ultrasonically Activated Shears in Extended Lymphadenectomyfor Gastric Cancer

  title={Ultrasonically Activated Shears in Extended Lymphadenectomyfor Gastric Cancer},
  author={Evangelos C. Tsimoyiannis and Mochammed Jabarin and John C. Tsimoyiannis and John P. Betzios and Christos Tsilikatis and George K. Glantzounis},
  journal={World Journal of Surgery},
Gastrectomy, followed by extended lymphadenectomy, is the treatment of choice in some stages of advanced gastric cancer. Lymphorrhea, as a result of the many divided lymphatic vessels, increases the morbidity. Ultrasonically activated coagulated shears (UACS) may divide all small vessels followed by immediate sealing of the coapted vessel walls. We designed a prospective randomized study to determine the effectiveness of the UACS versus monopolar electrosurgery in D2 dissection. Forty patients… CONTINUE READING


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