Ultrasonic surgical and electrosurgical system (USES) with conventional ultrasonic scalpel (CUS) in gastrectomy: a retrospective cohort study
Abstract Background Harmonic ACE +7 Shears with Advanced Hemostasis is an upgraded ultrasonic device, an ultrasonic surgical and electrosurgical system (USES). The study aimed to evaluate the economic and clinical effectiveness of the USES compared with the conventional ultrasonic scalpel (CUS) in g...
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | Cost Effectiveness and Resource Allocation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12962-022-00344-5 |
| _version_ | 1811308193296416768 |
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| author | Changqing Jing Yuezhi Chen Liang Shang Jinshen Wang Guodong Lian Feng Tian Yixue Shao Yingnan Zhao Jianwei Xuan Leping Li |
| author_facet | Changqing Jing Yuezhi Chen Liang Shang Jinshen Wang Guodong Lian Feng Tian Yixue Shao Yingnan Zhao Jianwei Xuan Leping Li |
| author_sort | Changqing Jing |
| collection | DOAJ |
| description | Abstract Background Harmonic ACE +7 Shears with Advanced Hemostasis is an upgraded ultrasonic device, an ultrasonic surgical and electrosurgical system (USES). The study aimed to evaluate the economic and clinical effectiveness of the USES compared with the conventional ultrasonic scalpel (CUS) in gastrectomy. Methods We conducted a single-center, retrospective cohort study using the electronic medical records in China. We collected intraoperative and postoperative data from gastric cancer patients who underwent the endoscope-assisted distal gastrectomy from 2018 to June 30, 2019. Procedure-related costs were estimated. We used linear regression by controlling a set of covariates to assess the effect of USES on outcomes. Result Out of 87 eligible patients, the USES group (40 patients) and CUS group (47 patients) were comparable in terms of age, medical history and stages of cancer. Compared with the CUS, the USES saved 4.27 hemoclips per person (95% CI 0.57–7.97, p < 0.05) and 34.18 ml intraoperative blood per person (95% CI 8.74–59.62 ml, p < 0.05), respectively. Postoperative length of stay (LOS) was shorter in the USES group (7.90 ± 1.95 vs. 9.26 ± 2.81 days) but the difference was not statistically significant (p = 0.05). Conclusions The USES group was associated with fewer hemoclips use and intraoperative blood loss in patients undergoing laparoscopic gastrectomy at comparable costs. |
| first_indexed | 2024-04-13T09:17:49Z |
| format | Article |
| id | doaj.art-797915589e8e4ec7911a6d2a1ea90085 |
| institution | Directory Open Access Journal |
| issn | 1478-7547 |
| language | English |
| last_indexed | 2024-04-13T09:17:49Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Cost Effectiveness and Resource Allocation |
| spelling | doaj.art-797915589e8e4ec7911a6d2a1ea900852022-12-22T02:52:41ZengBMCCost Effectiveness and Resource Allocation1478-75472022-05-012011610.1186/s12962-022-00344-5Ultrasonic surgical and electrosurgical system (USES) with conventional ultrasonic scalpel (CUS) in gastrectomy: a retrospective cohort studyChangqing Jing0Yuezhi Chen1Liang Shang2Jinshen Wang3Guodong Lian4Feng Tian5Yixue Shao6Yingnan Zhao7Jianwei Xuan8Leping Li9Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Health Policy and Management, School of Public Health and Tropical Medicine, Tulane UniversityDivision of Clinical and Administrative Sciences, College of Pharmacy, Xavier University of LouisianaSun Yat-Sen UniversityDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityAbstract Background Harmonic ACE +7 Shears with Advanced Hemostasis is an upgraded ultrasonic device, an ultrasonic surgical and electrosurgical system (USES). The study aimed to evaluate the economic and clinical effectiveness of the USES compared with the conventional ultrasonic scalpel (CUS) in gastrectomy. Methods We conducted a single-center, retrospective cohort study using the electronic medical records in China. We collected intraoperative and postoperative data from gastric cancer patients who underwent the endoscope-assisted distal gastrectomy from 2018 to June 30, 2019. Procedure-related costs were estimated. We used linear regression by controlling a set of covariates to assess the effect of USES on outcomes. Result Out of 87 eligible patients, the USES group (40 patients) and CUS group (47 patients) were comparable in terms of age, medical history and stages of cancer. Compared with the CUS, the USES saved 4.27 hemoclips per person (95% CI 0.57–7.97, p < 0.05) and 34.18 ml intraoperative blood per person (95% CI 8.74–59.62 ml, p < 0.05), respectively. Postoperative length of stay (LOS) was shorter in the USES group (7.90 ± 1.95 vs. 9.26 ± 2.81 days) but the difference was not statistically significant (p = 0.05). Conclusions The USES group was associated with fewer hemoclips use and intraoperative blood loss in patients undergoing laparoscopic gastrectomy at comparable costs.https://doi.org/10.1186/s12962-022-00344-5Harmonic ACE +7Cost analysisGastrectomyGastric cancer |
| spellingShingle | Changqing Jing Yuezhi Chen Liang Shang Jinshen Wang Guodong Lian Feng Tian Yixue Shao Yingnan Zhao Jianwei Xuan Leping Li Ultrasonic surgical and electrosurgical system (USES) with conventional ultrasonic scalpel (CUS) in gastrectomy: a retrospective cohort study Cost Effectiveness and Resource Allocation Harmonic ACE +7 Cost analysis Gastrectomy Gastric cancer |
| title | Ultrasonic surgical and electrosurgical system (USES) with conventional ultrasonic scalpel (CUS) in gastrectomy: a retrospective cohort study |
| title_full | Ultrasonic surgical and electrosurgical system (USES) with conventional ultrasonic scalpel (CUS) in gastrectomy: a retrospective cohort study |
| title_fullStr | Ultrasonic surgical and electrosurgical system (USES) with conventional ultrasonic scalpel (CUS) in gastrectomy: a retrospective cohort study |
| title_full_unstemmed | Ultrasonic surgical and electrosurgical system (USES) with conventional ultrasonic scalpel (CUS) in gastrectomy: a retrospective cohort study |
| title_short | Ultrasonic surgical and electrosurgical system (USES) with conventional ultrasonic scalpel (CUS) in gastrectomy: a retrospective cohort study |
| title_sort | ultrasonic surgical and electrosurgical system uses with conventional ultrasonic scalpel cus in gastrectomy a retrospective cohort study |
| topic | Harmonic ACE +7 Cost analysis Gastrectomy Gastric cancer |
| url | https://doi.org/10.1186/s12962-022-00344-5 |
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