PK等离子刀在腹腔镜困难型胆囊切除术中的临床应用研究

目的:探讨PK等离子刀在腹腔镜困难型胆囊切除术中对胆囊动脉的处理,胆囊床创面及炎性粘连创面止血的可行性。方法:回顾分析LC 127例困难型胆囊切除术中PK等离子刀止血的临床资料。结果:127例腹腔镜困难型胆囊切除术中应用PK等离子刀处理胆囊动脉、胆囊床创面及炎性粘连创面止血均获成功,未因出血而中转开腹手术,术后无继发出血。结论:注重LC术中出血的预防及处理,是保证手术成功的关键。PK等离子刀凝血功能强,术中出血减少,使胆囊动脉、胆囊床创面及炎性粘连创面出血的止血变得简单容易,术野清晰,安全,是腹部外科腹腔镜手术理想的切割止血工具。

The application of the Plasmakinetic scalpel in the difficult laparoscopic cholocystectomy

Objective: To evaluate the hemostatic effect of the Plasmakinetic scalpel treating the gallbladder arteria,the gallbladder bed and the inflammatory conglutination wound surface in the difficnlt laparoscopic cholocystectomy.Methods:A retrospective analysis was used to study the hemostatic effect of the Plasmakinetic scalpel in 127 cases.Results:In all the cases,the Plasmakinetic scalpel was used to treat the gallbladder arteria,the gallbladder bed and the inflamniatary conglutination wound surface successfully,no converting to laparotomy because of bleeding,without continuous bleeding.Conclusions: To notice the prevention and treatment of bleeding in the laparoscopic cholocystectomy,it is the key factor of the operation.The Plasmakinetic scalpel,with a powerful function of coagulation,makes the hemostasis of the gallbladder arteria,the gallbladder bed and the inflamniatory conglutination wound surface easer the operating area cleaner,and the operation safer.It is a very good cutting and hemostatic means for the laparoscopic operations.