PMID- 36255025
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230428
IS  - 2303-9027 (Print)
IS  - 2226-7190 (Electronic)
IS  - 2226-7190 (Linking)
VI  - 11
IP  - 5
DP  - 2022 Sep-Oct
TI  - Ex vivo comparison of electrocautery-enhanced delivery of lumen-apposing metal 
      stents matching electrosurgical workstations during EUS-guided gallbladder 
      drainage.
PG  - 377-382
LID - 10.4103/EUS-D-21-00240 [doi]
AB  - BACKGROUND AND OBJECTIVES: EUS-guided gallbladder drainage (EUS-GBD) has become 
      one of the recommended treatments for patients with high-risk acute 
      cholecystitis. However, the gallbladder reportedly collapsed due to bile leakage, 
      which was a disadvantage that affects the surgical success rate. Different 
      electrocautery-enhanced delivery of the lumen-apposing metal stents (ECE-LAMSs) 
      using suitable power levels in electrosurgical workstations can increase the 
      surgical success rate and reduce trauma. Therefore, we proposed the use of the 
      ECE-LAMSs and electrosurgical workstations for the first time through ex vivo 
      experiments to adjust the different power levels and select the most suitable 
      electrosurgical power for each ECE-LAMS type. METHODS: We compared three types of 
      ECE-LAMS (9Fr, 10.5Fr, and 10.8Fr) with three types of electrosurgical 
      workstations during EUS-GBD. GBD was simulated ex vivo under the guidance of an 
      ultrasound endoscope. We performed various power tests to elucidate the ideal 
      electric power for different ECE-LAMS combined with the different types of 
      electrosurgical workstations. RESULTS: For the 10.8Fr ECE-LAMS matched with the 
      Martin, Erbe, and Olympus electrosurgical workstations, the ideal power levels 
      were 200 W, 200 W, and 250W. For the 10.5Fr and 9Fr ECE-LAMS matched with the 
      Martin, Erbe, and Olympus electrosurgical workstations, the ideal power levels 
      were 150 W, 200 W, and 200 W. CONCLUSION: During the operations, due to low-power 
      levels in the electrosurgical workstations increased the number of cuts, the EUS 
      images were obviously unclear, which affected the success rates of the 
      operations. We suggested different power levels for the different types of LAMS 
      and their matching electrosurgical workstations, which can increase the surgical 
      success rates and reduce surgical injuries.
FAU - Zhang, Kai
AU  - Zhang K
AD  - Department of Gastroenterology, Endoscopic Center, Shengjing Hospital of China 
      Medical University, Shenyang, Liaoning Province, China.
FAU - Ge, Nan
AU  - Ge N
AD  - Department of Gastroenterology, Endoscopic Center, Shengjing Hospital of China 
      Medical University, Shenyang, Liaoning Province, China.
FAU - Guo, Jintao
AU  - Guo J
AD  - Department of Gastroenterology, Endoscopic Center, Shengjing Hospital of China 
      Medical University, Shenyang, Liaoning Province, China.
FAU - Wang, Sheng
AU  - Wang S
AD  - Department of Gastroenterology, Endoscopic Center, Shengjing Hospital of China 
      Medical University, Shenyang, Liaoning Province, China.
FAU - Sun, Siyu
AU  - Sun S
AD  - Department of Gastroenterology, Endoscopic Center, Shengjing Hospital of China 
      Medical University, Shenyang, Liaoning Province, China.
LA  - eng
PT  - Journal Article
PL  - China
TA  - Endosc Ultrasound
JT  - Endoscopic ultrasound
JID - 101622292
PMC - PMC9688136
OTO - NOTNLM
OT  - EUS
OT  - EUS-guided gallbladder drainage
OT  - electrocautery-enhanced delivery of the lumen-apposing metal stents
COIS- None
EDAT- 2022/10/19 06:00
MHDA- 2022/10/19 06:01
PMCR- 2022/06/08
CRDT- 2022/10/18 07:14
PHST- 2022/10/18 07:14 [entrez]
PHST- 2022/10/19 06:00 [pubmed]
PHST- 2022/10/19 06:01 [medline]
PHST- 2022/06/08 00:00 [pmc-release]
AID - EndoscUltrasound_2022_11_5_377_346865 [pii]
AID - EUS-11-377 [pii]
AID - 10.4103/EUS-D-21-00240 [doi]
PST - ppublish
SO  - Endosc Ultrasound. 2022 Sep-Oct;11(5):377-382. doi: 10.4103/EUS-D-21-00240.