AIM: To evaluate the clinical impact of the use of the Caiman® articulating energy device in advanced ovarian cancer (AOC) including rectosigmoid resection [e.g. modified posterior exenteration (MPE)]. PATIENTS AND METHODS: This was a prospective single-institution observational study with women undergoing MPE where all soft-tissue dissections and vessel ligations were performed using the Caiman® device. Intraoperative and postoperative surgical data were collected. Bladder function after nerve-sparing surgery was analyzed before and 6 months after surgery. RESULTS: Forty patients were registered in the study. The median time for specimen removal using Caiman® was 86 min (range=70-120 min). Major vessel ligation was successful in all patients with a median of a single (range=1-4) Caiman® application to seal major vessels. No intraoperative or postoperative complications or bladder dysfunctions associated with the use of Caiman® were noted. CONCLUSION: Caiman® can be safely used in AOC surgery and may save time through faster dissection. However, comparative studies with other energy devices are needed to confirm this finding. Copyright
AIM: To evaluate the clinical impact of the use of the Caiman® articulating energy device in advanced ovarian cancer (AOC) including rectosigmoid resection [e.g. modified posterior exenteration (MPE)]. PATIENTS AND METHODS: This was a prospective single-institution observational study with women undergoing MPE where all soft-tissue dissections and vessel ligations were performed using the Caiman® device. Intraoperative and postoperative surgical data were collected. Bladder function after nerve-sparing surgery was analyzed before and 6 months after surgery. RESULTS: Forty patients were registered in the study. The median time for specimen removal using Caiman® was 86 min (range=70-120 min). Major vessel ligation was successful in all patients with a median of a single (range=1-4) Caiman® application to seal major vessels. No intraoperative or postoperative complications or bladder dysfunctions associated with the use of Caiman® were noted. CONCLUSION: Caiman® can be safely used in AOC surgery and may save time through faster dissection. However, comparative studies with other energy devices are needed to confirm this finding. Copyright
Authors: G Vizzielli; B Costantini; L Tortorella; I Pitruzzella; V Gallotta; F Fanfani; S Gueli Alletti; F Cosentino; C Nero; G Scambia; A Fagotti Journal: Gynecol Oncol Date: 2016-04-27 Impact factor: 5.482
Authors: V Gallotta; F Fanfani; G Vizzielli; G Panico; C Rossitto; M L Gagliardi; P A Margariti; M G Salerno; G F Zannoni; F Pacelli; G Scambia; A Fagotti Journal: Eur J Surg Oncol Date: 2011-09-25 Impact factor: 4.424
Authors: Giuseppe Vizzielli; Barbara Costantini; Lucia Tortorella; Marco Petrillo; Francesco Fanfani; Vito Chiantera; Alfredo Ercoli; Raffaella Iodice; Giovanni Scambia; Anna Fagotti Journal: Ann Surg Oncol Date: 2014-05-22 Impact factor: 5.344