Ligasure联合杯状举宫器在腹腔镜下全子宫切除术中的应用

目的探讨结扎速血管闭合系统(Ligasure)联合杯状举宫器在腹腔镜下全子宫切除术中的临床应用价值。方法 2010年5~11月,使用Ligasure、杯状举宫器在腹腔镜下行子宫全切除47例。结果 47例均顺利完成,手术时间60~120min,平均70 min。出血量20~80 mL,平均50 mL,术后有1例盆腔脓肿,经阴道盆腔脓肿引流及抗感染治疗成功。结论 Ligasure联合杯状举宫器行腹腔镜下全子宫切除术方便、快捷、有效,值得推广。

Analysis of 47 cases of laparoscopic hysterectomy with ligasure and cuppy uterus-lifted equipment

Objective To evaluate clinical value of combined application of Ligasure vessel sealing system and cuppy uterus-lifted equipment in laparoscopical hysterectomy.Methods 47 cases were given laparoscopical hysterectomy using cuppy uterus-lifted equipment and Ligasure between May to November in 2010.Results 47 cases were successfully completed,and the operation time was between 60 and 120 min with the average of 70 min. Blood loss was 20～80 mL with average loss of 50 mL.After operation one case suffered from pelvic abscess.Transvaginal pelvic abscess drainage and antibiotics were done,and the treatment was successful.No organ and vascular were damaged,and no abdominal wound were infected.Conclusion advanced laparoscopic surgical instruments make hysterectomy more convenient,fast,effective.Laparoscopical hysterectomy with uterus-lifted equipment and ligasure is suitable for wide clinical application.