• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

A Prospective Trial Evaluating the Clinical Performance of a Novel Surgical Energy Device in Colorectal Surgery

J W Milsom, MD, K Trencheva, MS, T Sonoda, MD, G Nandakumar, MD, P Shukla, MD, S K Sharma, MD, S W Lee, MD. Weill Cornell Medical College.

Introduction: This study reports the first USA prospective human trial evaluating the clinical performance of the THUNDERBEAT energy device. The quest for improvements and optimization of energy devices in surgery is on-going. Recently the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) initiated the Fundamental Use of Surgical Energy (FUSE) program to develop training in energy device safety and optimal use. A combined energy device using ultrasound and bipolar energy has been developed [THUNDERBEAT, (TB), Olympus, Tokyo] to pursue this quest and is approved by the FDA. We previously reported on this technology’s versatility within the porcine model, concluding that this device should decrease time and increase versatility during surgical procedures.

Methods and Procedures: Prospective pilot study with 30 subjects undergoing left or right colon resection for neoplasm in a single institution. All soft tissue dissection and vessel ligation was performed using TB. No other energy device was used within the abdomen. Recorded end-points were: dissection time (from start of colon mobilization to specimen removal), surgical procedure time, times TB was taken out of the abdominal cavity, use of other energy devices, intraoperative complications (bleeding at time of mesenteric dissection, bleeding at time of vessel ligation, visible thermal injury during surgery, injury of other organs), device technical problems, postoperative complications (postop bleeding, delayed thermal injuries, other postoperative complications within 30 days), length of hospital stay and mortality.

Results: To date, 25 subjects have been enrolled in the study and 40 % were males. Median age and range was 66 (21-88) and BMI was 26(20-35). Nine subjects underwent right and 16 left hemicolectomy. The mean surgical procedure time was 155±47 minutes and mean time for dissection using TB device was 80±35 minutes. Major vessel ligation was successful in all subjects. The mean number of TB applications to seal IMA was 3±1.6. TB device was taken out of the abdominal cavity during dissection in only 9/25 cases for tip cleaning reasons. No intraoperative adverse events were noted in this study. There were no postoperative events (bleeding or delayed thermal organ injuries, etc.) related to the use of TB.

Conclusions: The THUNDERBEAT device demonstrated efficient and successful performance at tissue dissection and major mesenteric vessel ligation in all subjects. THUNDERBEAT technology can be employed in complex abdominal surgery and may save time through faster dissection but comparative studies with other energy devices are needed to confirm this.

View Poster

286

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons