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Pancreatic Neoplasms: HELP
Articles by Karim Abdel Gawad
Based on 2 articles published since 2010
(Why 2 articles?)
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Between 2010 and 2020, Karim A. Gawad wrote the following 2 articles about Pancreatic Neoplasms.
 
+ Citations + Abstracts
1 Article LigaSure™ vs. conventional dissection techniques in pancreatic surgery--a prospective randomised single-centre trial. 2013

Uzunoglu, Faik Guentac / Bockhorn, Maximilian / Fink, Judith Alexandra / Reeh, Matthias / Vettorazzi, Eik / Gawad, Karim Abdel / Bogoevski, Dean / Vashist, Yogesh Kumar / Tsui, Tung Yu / Koenig, Alexandra / Mann, Oliver / Izbicki, Jakob Robert. ·Department of General, Visceral and Thoracic Surgery, University Hospital Hamburg-Eppendorf, Martinistraße, 52 20246, Hamburg, Germany. ·J Gastrointest Surg · Pubmed #23250820.

ABSTRACT: BACKGROUND: Surgical procedures in pancreatic surgery are well established, but still involve time-consuming manual dissection. We compared the use of LigaSure with conventional dissection techniques in pancreatic surgery in a prospective randomised single-centre trial (registration number: NCT00850291). METHODS: Patients with tumours of the pancreatic head that were assumed to be technically resectable were randomised to LigaSure or conventional surgery. The primary endpoint of this study was overall operation time. Secondary endpoints were preparation time until tumour resection, intraoperative blood loss, number of given units of packed red blood cells, costs of surgery, postoperative morbidity, length of hospital stay and mortality. RESULTS: There was no difference in overall operation time between the two groups (P = 0.227). Median costs for pancreatic surgery were significantly less in the conventional group with €3,047 (range 2,004-5,543) vs. €3,527 (range 2,516-5,056, P = 0.009). Preparation time, intraoperative blood loss, number of units of packed red blood cells, postoperative morbidity, length of hospital stay and mortality did not differ between the two groups. CONCLUSION: Our data indicate that the LigaSure device is equivalent to conventional dissection modalities in pancreatic surgery.

2 Article Ultrasonic dissection versus conventional dissection techniques in pancreatic surgery: a randomized multicentre study. 2012

Uzunoglu, Faik G / Stehr, Anne / Fink, Judith A / Vettorazzi, Eik / Koenig, Alexandra / Gawad, Karim A / Vashist, Yogesh K / Kutup, Asad / Mann, Oliver / Gavazzi, Francesca / Zerbi, Alessandro / Bassi, Claudio / Dervenis, Christos / Montorsi, Marco / Bockhorn, Maximilian / Izbicki, Jakob R. ·Department of General, Visceral and Thoracic Surgery, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, Hamburg, Germany. ·Ann Surg · Pubmed #23095609.

ABSTRACT: OBJECTIVE: : This prospective randomized multicenter trial was performed to assess the potential benefits of ultrasonic energy dissection compared with conventional dissection techniques in pancreatic surgery. BACKGROUND: : Surgical procedures for tumors of the pancreatic head involve time-consuming manual dissection. The primary hypothesis was that use of ultrasonic tissue and vessel dissection would lead to substantial saving in operative time during pancreatic resection. METHODS: : Patients eligible for pancreaticoduodenectomy (PD) or pylorus-preserving PD (PPPD) were randomized to group A (dissection with ultrasonic device) or group B (conventional dissection) from March 2009 to May 2011. The primary endpoint was overall duration of operation time. Secondary endpoints were time to end of resection phase, intraoperative blood loss, number of transfused units of blood, and postoperative morbidity. RESULTS: : Analysis of primary and secondary endpoints included 101 patients, who received either PD or PPPD. Demographical characteristics and clinical parameters were similar in both groups. The use of an ultrasonic dissection device did not significantly reduce overall operation time (median 316 minutes in group A and 319 minutes in group B, P = 0.95) and did not significantly increase the costs of surgery. Analysis of secondary endpoints revealed no difference in postoperative course. CONCLUSIONS: : Tissue dissection and vessel closure using an ultrasonic device is equivalent to dissection with conventional techniques in pancreatic surgery.