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document
A randomized study comparing the use of the Ligaclip with bipolar energy to prevent lymphocele during laparoscopic pelvic lymphadenectomy for gynecologic cancer . OBJECTIVE This prospective randomized pilot study compared the use of the Ligaclip ( Ethicon Endo-Surgery , Cincinnati , OH ) with bipolar coagulation in preventing lymphoceles after laparoscopic pelvic lymphadenectomy for gynecologic cancer . STUDY DESIGN Thirty patients with gynecologic malignancy , who had laparoscopic pelvic lymphadenectomy were randomly assigned for lymphadenectomy in 1 side of the pelvis using the Ligaclip , whereas , in the other side , the bipolar coagulation to seal lymphatic vessels was used . RESULTS At ultrasound examination , we detected lymphocele in 10 patients ( 33 % ) . Lymphocele developed in 9 ( 30 % ) patients on the side where laparoscopic pelvic lymphadenectomy was perfomed using bipolar coagulation , and in 1 ( 3.3 % ) patient on the side where laparoscopic pelvic lymphadenectomy was performed using the Ligaclip . Univariate analysis revealed that the Ligaclip 's use compared with electrocoagulation in the laparoscopic pelvic lymphadenectomy is an independent predictive factor for development of lymphocele ( P = .006 ) . CONCLUSION This study demonstrates that the use of the Ligaclip to close lymphatic vessels may reduce the incidence of lymphoceles in patients undergoing laparoscopic pelvic lymphadenectomy .
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Intervention_Surgical
Ligaclip
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Intervention_Surgical
lymphadenectomy
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Intervention_Surgical
Ligaclip
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Intervention_Surgical
bipolar coagulation to seal lymphatic vessels
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Outcome_Physical
lymphocele
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Outcome_Physical
Lymphocele
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Outcome_Physical
development of lymphocele
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Outcome_Physical
incidence of lymphoceles
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Participant_Condition
laparoscopic pelvic lymphadenectomy for gynecologic cancer .