Abstract
Minimally invasive surgery (MIS) in pediatric urology has developed rapidly in the last 20 years. Almost all conventional abdominal and retroperitoneal urologic procedures have been now performed minimally invasively. This increase was possible owing to an advancement of expertise in pediatric MIS as well as in pediatric anesthesiology and the development of special equipment. Inadequate hemostasis with bleeding is one of the biggest adversaries of MIS. In order to improve hemostasis and to reduce the risk of bleeding, which may result in conversion to open surgery, several electrical systems for dissection and coagulation were developed. This chapter focuses on the different electrosurgical systems, which are used in pediatric MIS Urology.
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References
Lyons SD, Law KS. Laparoscopic vessel sealing technologies. J Minim Invasive Gynecol. 2013;20(3):301–7. https://doi.org/10.1016/j.jmig.2013.02.012.
Vilos GA, Rajakumar C. Electrosurgical generators and monopolar and bipolar electrosurgery. J Minim Invasive Gynecol. 2013;20:279–87.
Ihnát P, Ihnát Rudinská L, Zonča P. Radiofrequency energy in surgery: state of the art. Surg Today. 2014;44(6):985–91. https://doi.org/10.1007/s00595-013-0630-5.
Pandey D, Yen CF, Lee CL, Wu MP. Electrosurgical technology: quintessence of the laparoscopic armamentarium. Gynecol Minim Invasive Ther [Internet]. 2014;3(3):63–6. https://doi.org/10.1016/j.gmit.2014.06.003.
Newcomb WL, Hope WW, Schmelzer TM, et al. Comparison of blood vessel sealing among new electrosurgical and ultrasonic devices. Surg Endosc. 2009;23:90–6.
Okhunov Z, Yoon R, Lusch A, et al. Evaluation and comparison of contemporary energy-based surgical vessel sealing devices. J Endourol. 2018;32(4):329–37. https://doi.org/10.1089/end.2017.0596.
Devassy R, Hanif S, Krentel H, Verhoeven HC, la Roche LAT, De Wilde RL. Laparoscopic ultrasonic dissectors: technology update by a review of literature. Med Devices (Auckl). 2018;12:1–7. https://doi.org/10.2147/MDER.S113262.
Seehofer D, Mogl M, Boas-Knoop S, et al. Safety and efficacy of new integrated bipolar and ultrasonic scissors compared to conventional laparoscopic 5-mm sealing and cutting instruments. Surg Endosc. 2012;26(9):2541–9. https://doi.org/10.1007/s00464-012-2229-0.
Sutton C, Abbott J. History of power sources in endoscopic surgery. J Minim Invasive Gynecol. 2013;20(3):271–8. https://doi.org/10.1016/j.jmig.2013.03.001.
Milsom J, Trencheva K, Monette S, et al. Evaluation of the safety, efficacy, and versatility of a new surgical energy device (THUNDERBEAT) in comparison with harmonic ACE, LigaSure V, and EnSeal devices in a porcine model. J Laparoendosc Adv Surg Tech A. 2012;22(4):378–86. https://doi.org/10.1089/lap.2011.0420.
Esposito C, Lima M, Mattioli G, et al. Complications of pediatric urological laparoscopy: mistakes and risks. J Urol. 2003;169(4):1490–2. https://doi.org/10.1097/01.ju.0000055256.43528.f6.
Esposito C, Escolino M, Corcione F, et al. Twenty-year experience with laparoscopic and retroperitoneoscopic nephrectomy in children: considerations and details of technique. Surg Endosc. 2016;30(5):2114–8. https://doi.org/10.1007/s00464-015-4472-7.
Metzelder ML, Kübler JF, Nustede R, Ure BM. LigaSure in laparoscopic transperitoneal heminephroureterectomy in children: a comparative study. J Laparoendosc Adv Surg Tech A. 2006;16(5):522–5. https://doi.org/10.1089/lap.2006.16.522.
Metzelder ML, Kübler J, Petersen C, Glüer S, Nustede R, Ure BM. Laparoscopic nephroureterectomy in children: a prospective study on Ligasure versus clip/ligation. Eur J Pediatr Surg. 2006;16(4):241–4. https://doi.org/10.1055/s-2006-924375.
Dingemann C, Petersen C, Kuebler JF, Ure BM, Lacher M. Laparoscopic transperitoneal heminephrectomy for duplex kidney in infants and children: a comparative study. J Laparoendosc Adv Surg Tech A. 2013;23(10):889–93. https://doi.org/10.1089/lap.2013.0194.
Aydogdu I, Silay MS. Transperitoneal laparoscopic heminephroureterectomy in pediatric population: a single-Centre experience using a sealing device [published online ahead of print, 2018 may 14]. Can Urol Assoc J. 2018;12(9):E409–14. https://doi.org/10.5489/cuaj.4992.
Wille AH, Tüllmann M, Roigas J, Loening SA, Deger S. Laparoscopic partial nephrectomy in renal cell cancer—results and reproducibility by different surgeons in a high volume laparoscopic center. Eur Urol. 2006;49(2):337–43. https://doi.org/10.1016/j.eururo.2005.11.016.
Phillips JM, Narula N, Deane LA, et al. Histological evaluation of cold versus hot cutting: clinical impact on margin status for laparoscopic partial nephrectomy. J Urol. 2008;180(6):2348–52. https://doi.org/10.1016/j.juro.2008.08.029.
Marte A, Sabatino MD, Borrelli M, et al. LigaSure vessel sealing system in laparoscopic Palomo varicocele ligation in children and adolescents. J Laparoendosc Adv Surg Tech A. 2007;17(2):272–5. https://doi.org/10.1089/lap.2006.0046.
Koyle MA, Oottamasathien S, Barqawi A, Rajimwale A, Furness PD 3rd. Laparoscopic Palomo varicocele ligation in children and adolescents: results of 103 cases. J Urol. 2004;172(4 Pt 2):1749–52. https://doi.org/10.1097/01.ju.0000138676.68054.67.
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Zimmermann, P., Lacher, M. (2022). Energy Sources in Pediatric MIS Urology. In: Esposito, C., Subramaniam, R., Varlet, F., Masieri, L. (eds) Minimally Invasive Techniques in Pediatric Urology. Springer, Cham. https://doi.org/10.1007/978-3-030-99280-4_8
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