超声刀在腹腔镜胆囊切除术中的应用分析(附120例报告)  

Practical analysis of Ultracision-Harmonic scalpel in laparoscopic cholecystectomy (report of 120 cases)

作　　者：贺宜伟[1] 涂湘炎[1] 邹晓鹤[1] 

机构地区：[1]南华大学附属湘潭市第一人民医院肝胆外科,湖南湘潭411100

出　　处：《中国内镜杂志》2005年第3期297-299,共3页China Journal of Endoscopy

摘　　要：目的探讨超声刀在腹腔镜胆囊切除术(LC)中的应用价值。方法回顾性分析应用超声刀施行LC治疗120例胆囊结石患者的临床资料。结果顺利完成手术115例,中转开腹5例,无胆管损伤、胆漏、大出血等严重并发症,手术时间(65±25)min,术中出血5～35mL,术后引流量(45±10)mL,术后平均住院时间5d平均(4±2)d,所有病例均痊愈出院。结论LC术中应用超声刀出血少,创伤小,能提高LC的安全性和成功率,降低胆道损伤等并发症的发生率,值得临床推广。To explore the practical evaluation of Ultracision-Harmonic Scalpel (UHS) in laparoscopic cholecystectomy(LC). The data of 120 patients with cholecystolithiasis, who underwent laparoscopic cholecystectomy by using Ultracision-Harmonic Scalpel (UHS), were retrospectively analysed. Laparoscopic cholecystectomy(LC) were performed successfully in 115 cases and changed to laparotomy in 5 cases without severe complications such as bile duct injury, bile leakage and postoperative hemorrhage. The average duration was (65±25)min,the intraoperative blood loss was 5～35 mL, and the postoperative drainage liquid was (45±10)ml,the mean postoperative hospital stay was 5 d (4±2) d. All patients recovered and were discharged. [Conclusions] Ultracision-Harmonic Scalpel (UHS) can be applied in laparoscopic cholecystectomy(LC) with advantages including little blood loss, tiny injury, increasing the security and success rate of LC and decreasing the occurring rate of complications such as bile duct injury. So it deserves clinical popularization.

关 键 词：腹腔镜 超声刀 腹腔镜胆囊切除术 胆囊结石 

分 类 号：R657.42[医药卫生—外科学]