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超声刀在腹腔镜胆囊切除术中的应用
引用本文:孙雪峰,王军. 超声刀在腹腔镜胆囊切除术中的应用[J]. 临床医学, 2009, 29(5): 19-20
作者姓名:孙雪峰  王军
作者单位:安徽省阜阳市人民医院普外科,阜阳,236004;安徽省阜阳市人民医院普外科,阜阳,236004
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。

关 键 词:胆囊切除术  腹腔镜  超声刀

Application of ultrasonic harmonic scalpel in laparoscopic cholecystectomy
SUN Xuefeng,WANG Jun. Application of ultrasonic harmonic scalpel in laparoscopic cholecystectomy[J]. Clinical Medicine, 2009, 29(5): 19-20
Authors:SUN Xuefeng  WANG Jun
Affiliation:. (Department of General Surgery, the People' s Hospital of Fuyang , Fuyang 236004, China)
Abstract:Objective To summarized the experiences and superiority of ultrasonic harmonic scalpel in laparoscopic cholecystectomy(LC).Methods The method was same as conventional LC. Ductus cysticus was cut off after it was closed. And then arteria cysticus and bed cysticus 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.
Keywords:Cholecystectomy,laparoscopic  Ultrasonic harmonic scalpel
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