期刊文献+

超声刀联合超声吸引刀在腹腔镜肝切除术中的应用 被引量:2

Application of ultrasonic scalpel with cavitron ultrasonic surgical aspirator in laparoscopic hepatectomy
在线阅读 下载PDF
导出
摘要 目的探讨超声刀联合超声吸引刀断肝法在腹腔镜肝切除术中的应用价值。方法回顾性分析2009年3月~2011年5月,我科14例腹腔镜肝切除的临床资料。结果 14例腹腔镜肝切除均获成功,无1例因出血中转开腹。手术时间120~220min,平均156min;术中出血80~300ml;术后恢复顺利。结论腹腔镜肝切除安全可行,术中联合使用超声刀和超声吸引刀有助于减少术中出血,预防胆漏发生。 Objective To summarize the clinical applied value of ultrasonic scalpel and cavitron ultrasonic surgical aspirator in laparoscopic hepatectomy.Methods 14 cases of laparoscopic hepatectomy have been retrospective analysis in our department from March 2009 to May 2011.Results 14 cases of laparoscopic hepatectomy was successful with no conversion to open procedures due to massive hemorrhage.the operative duration was 156 minutes(range:120~220 minutes),the intraoperative blood loss range was 80~300ml.All patients had recovered.Conclusion Laparoscopic hepatectomy is safe and feasible,combined use of ultrasonic scalpel with cavitron ultrasonic surgical aspirator can help to minimize intraoperative blood loss and prevent bile leaking.
出处 《四川医学》 CAS 2012年第3期397-398,共2页 Sichuan Medical Journal
关键词 腹腔镜 肝切除 超声刀 超声吸引刀 laparoscopic hepatectomy ultrasonic scalpel cavitron ultrasonic surgical aspirator
  • 相关文献

参考文献10

二级参考文献47

共引文献62

同被引文献37

  • 1李英兰,朱爱琴,钟欣,姜瑞.血清胱抑素C和肝纤维化指标在老年肝癌患者中的应用[J].中国老年学杂志,2014,34(2):380-381. 被引量:3
  • 2Sugiyama Y,Ishizaki Y,Imamura H,et al.Effects of in-termittent pringle' s manoeuvre on cirrhotic comparedwith normal liver[J].Bri J Surg.2010,97(7):1062-1069.
  • 3Limongelli P,Belli A,Cioffi L,et al.Ultrasonically activa-ted device for parenchymal division during open liver re-section[J].HPB(Oxford),2008,10(4) ;234-238.
  • 4Lesurtel M,Belghiti J.Open hepatic parenchymal transec-tion using ultrasonic dissection and bipolar coagulation[J].HPB(Ox-ford),2008,10(4):265-270.
  • 5Diamantis T,Gialikaris S,Kontos M,et al.Comparison ofsafety and efficacy of ultrasonic and bipolar thermal ener-gy:An experimental study[J].Surg Laparosc Endosc Per-cutan Tech,2008,18:384-390.
  • 6Koo BN,Kil HK,Choi JS,et al.Hepatic resection by cav-itron ultrasonic surgical aspirator decreases the incidenceand severity of venous air embolism [J].Anesth Analg,2005,101(4):966-970.
  • 7Lesurtel M,Selzner M,Petrowsky H,et al.How shouldtransection of the liver be performed.a prospective ran-domized study in 100 consecutive patients:comparing four.different transection strategies [J].Ann Surg,2005,242(6):814-822.
  • 8Pamecha V,Gurusamy KS,Sharma D,et al.Techniques forliver parenchymal transection:a meta-analysis of randomizedcontrolled trials[J].HPB(Oxford),2009,11(4):275-281.
  • 9Lee KF,Wong J,Ng W,et al.Feasibility of liver resection without the use of the routine pringlemanoeuver-an analysis of 248 consecutive cases[J].HPB(Oxford),2009,11(4):332-338.
  • 10Xia F,Wang SG.Ma KS.et al.The use of saline-linkedradiofrequency dissecting sealer for liver transection inpatients with cirrhosis [J].J Surg Res,2008,149:110-114.

引证文献2

二级引证文献5

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部