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It is therefore suggested that the choice of technique used should be made according to the surgeon’s preference. On the other hand, a recent study demonstrated that there were no significant differences between the short-term outcomes of UCS and Ligasure for laparoscopic colorectal surgery. Some authors have reported that the length of surgery or blood loss when Ligasure was used for laparoscopic colorectal surgery is less than when UCS was used. The short-term outcomes of surgeries using UCS and Ligasure for laparoscopic colorectal surgery were superior to conventional electrosurgery. We also describe our laparoscopic dissection techniques using UCS for colorectal cancer.

We herein report the results of a literature review of energy sources for laparoscopic colorectal surgery, focused especially on 6 studies comparing ultrasonic coagulating shears (UCS) and other instruments. This is important because the increasing availability of new devices allows us to perform procedures with a reduced length of surgery and decreased blood loss. Laparoscopic surgery for colorectal disease has become widespread as a minimally invasive treatment. Hotta, Tsukasa Takifuji, Katsunari Yokoyama, Shozo Matsuda, Kenji Higashiguchi, Takashi Tominaga, Toshiji Oku, Yoshimasa Watanabe, Takashi Nasu, Toru Hashimoto, Tadamichi Tamura, Koichi Ieda, Junji Yamamoto, Naoyuki Iwamoto, Hiromitsu Yamaue, Hiroki Literature review of the energy sources for performing laparoscopic colorectal surgery This article provides a summary of the various techniques for laparoscopic colorectal surgery, including operative steps, the approach to difficult patients, and the learning curve for proficiency. Laparoscopic colorectal surgery involves a robust learning curve, and fellowship training often lays the foundation for a high-volume laparoscopic practice. Common minimally invasive techniques include multiport laparoscopy, single-incision laparoscopy, and hand-assisted laparoscopy, with the choice of technique depending on several patient and surgeon factors.

Laparoscopic colorectal surgery has now become widely adopted for the treatment of colorectal neoplasia, with steady increases in utilization over the past 15 years. Parker, James Michael Feldmann, Timothy F Cologne, Kyle G Advances in Laparoscopic Colorectal Surgery.