LigaSureTM血管闭合系统在胃癌根治术中的应用研究

目的 探讨LigaSureTM血管闭合系统在胃癌根治术中应用的实用性和安全性.方法 回顾性分析Ⅰ～Ⅲ期胃癌并行胃癌根治术70例临床资料,其中35例术中使用LigaSureTM血管闭合系统,另35例采用传统结扎止血法.分析两组手术出血量、手术时问以及术后并发症.结果 LigaSureTM组和传统手术组的平均手术时间分别为(159.9±24.7)min和(172.6±23.7)min(P＜0.05);两组术中平均出血(335.7±40.3)ml和(371.7±43.2)ml(P＜0.01).70例患者术后无严重并发症,均顺利出院.结论 LigaSureTM血管用合系统用于胃癌根治术可以缩短手术时间,减少术中出血,操作方便,使用安全,具有一定的临床应用价值.

Clinical application of LigaSureTM vessel-sealing system for radical gastrectomy

Objective To examine the practicability and security of the LigaSureTM vessel-sealing system in radical gastrcctomy.Methods Seventy patients of stage Ⅰ～Ⅲ gastric cancer undergone radical gastrectomy were analyzed retrospectively.Thirty-five radical gastrectomy were performed with LigaSureTM vessel-sealing system,the other 35 eases were performed without LigaSureTM.The operative duration,volume of intraoperative hemorrhage,and postoperative complications were analyzed.Results There were significant difference in both operative duration(159.9±24.7)min vs(172.6±23.7)min,P＜0.05]and volume of intraoperative hemorrhage(335.7±40.3)ml vs(371.7±43.2)ml,P＜0.01].There was no significant difference in the postoperative complications between LigaSureTM group and conventional method group.All patients recovered without severe postoperative complications.Conclusion Radical resection of gastric cancer using LigaSureTM instead of conventional hand tie method appears to he shorten operative duration,decreased volume of intraoperative hemorrhage.And the technique is convenient and safe.