Ligasure联合超声刀在肝胆外科开腹手术中的应用  

Combined application of ligasure vessel sealing system and ultracision-harmonic scalpel in open hepatobiliary surgery

作　　者：潘光栋[1] 杨建青[1] 褚光平[1] 毛盛名[1] 刘振[1] 袁林[1] 肖亿[1] 谭盛强[1] 

机构地区：[1]广西柳州市人民医院肝胆外科,柳州市545001

出　　处：《微创医学》2009年第4期340-342,共3页Journal of Minimally Invasive Medicine

摘　　要：目的探讨Ligasure联合超声刀在肝胆外科开腹手术中应用的效果和安全性。方法将2006年9月至2008年9月接受开腹手术的患者分为联合手术组158例、传统手术组129例,分别接受联合应用Ligasure和超声刀开腹手术及传统开腹手术,并根据具体手术方式进一步分为不同的亚组,比较两组手术患者对应亚组间手术时间、术中出血量、术后引流管放置时间、术后住院天数。结果联合手术组平均手术时间、术中出血量、术后引流管放置天数、术后住院天数均明显低于传统手术组,差异具有统计学意义(P<0.05)。结论联合应用超声刀和Ligasure施行肝胆外科开腹手术可以缩短手术时间,减少术中出血,缩短术后引流管放置时间和术后住院天数。Objective To study the effect and safety of combined application of ligaanre vessel sealing system （LVSS） and ultracision-harmonic scalpel（UHS） in open hepatobiliary surgery. Methods Patients underwent open hepatobiliary surgery were grouped into combined group and conventional group. Combined group included 158 patients,and conventional group included 129 patients. Combined group was performed operation by LVSS and UHS,and conventional group by general methods. Combined and conventional groups were divided into subgroups based on different operation methods. The operation time, bleeding capacity, convalescent period and irrigation time were compared between two correspending subgroups. Results In combined group, the operation time, bleeding capacity, convalescent period and drainage duration all got improved as compared to conventional control. Conclusion Combined complication of UHS and LVSS in open hepatobiliary surgery could decrease the operation time, bleeding capacity, convalescent period and drainage duration.

关 键 词：血管结扎闭合系统 超声刀切割止血系统:手术治疗 

分 类 号：R656[医药卫生—外科学]