超声刀在腹腔镜胆囊切除术中的应用  

Application of ultrasonic harmonic scalpel in laparoscopic cholecystectomy

作　　者：孙雪峰[1] 王军[1] 

机构地区：[1]安徽省阜阳市人民医院普外科,阜阳236004

出　　处：《临床医学》2009年第5期19-20,共2页Clinical Medicine

摘　　要：目的总结超声刀在腹腔镜胆囊切除术(LC)中的应用方法、技巧及注意事项。方法基本同常规LC方法,夹闭胆囊管后将其切断,胆囊动脉及胆囊床组织用超声刀分离、剥离、凝固、切割止血。结果本组298例均痊愈出院,其中中转开腹2例。结论在LC手术中超声刀的应用具有以下优越性:①止血效果好;②切割精确;③安全性高;④手术时间短。Objective To summarized the experiences and superiority of ultrasonic harmonic scalpel in laparoscopic cholecys-tectomy （LC）. Methods The method was same as conventional LC. Ductus cysticus was cut off after it was closed. And then arteria cystieus and bed eysticus were separated, stripped, coagulated and cut off by ultrasonic harmonic scalpel. Results Two hundred and ninety eight patients have been cured, 2 patients were converted to open surgery. Conclusion The application of ultrasonic harmonic scalpel in laparoscopic cholecystectomy has the followingadvantages such as good - to - excellent effects on stopping bleeding, accurate cut, safe to the patients, short operation time.

关 键 词：胆囊切除术 腹腔镜 超声刀 应用方法 优越性 

分 类 号：R657.4[医药卫生—外科学]