超声刀在腹腔镜胆囊切除术中的应用

目的 探讨超声刀在腹腔镜胆囊切除术(LC)中的应用价值.方法 140例急、慢性胆囊炎、胆囊结石患者,术中采用超声刀联合高频电刀、辅助冲吸器行LC治疗,观察其临床效果.结果 140例中完成腹腔镜胆囊切除术138例,2例因为胆囊周围广泛较致密粘连胆囊三角解剖不清而中转开腹.术中出血量(8.16±1.85)ml,手术时间(38.13±4.35) min,术后住院时间(3.25±1.18)d;术中胆囊破裂4例,肝胆管灼伤1例.结论 应用超声刀联合高频电刀、辅助冲吸器行腹腔镜胆囊切除术,创伤小、恢复快.

The clinical application of ultrasonic scalpel in laparoscopic cholecystectomy

Objective To investigate the applicetion value of combined ultrasonic scalpel in laparoscopic cholecystectomy（LC）. Methods 140 patients with acute and chronic cholecystitis, gallbladder stone patients, received intraoperative ultrasound combined electrosurgical knife, suction devices auxiliary red line LC. The clinical effects were observed. Results 138 cases were completed cholecystectomy. Blood loss （8. 16 ± 1.85）ml, operation time （38.13 ± 4.35 ）min, Postoperative hospital stay（ 3.25 ± 1.18 ）d ,4 cases of intraoperative rupture of the gallbladder, Hepatobiliary bums in 1 case, 2 eases because of dense adhesions around the gallbladder and gallbladder more extensive anatomical triangle unclear laparotomy. Conclusion The rational use of combined high-frequency ultrasonic scalpel knife, suction devices auxiliary red laparoscopic cholecystectomy, surgical conditions that meet medicalrecords, are safe and reliable, quicker recovery can be achieved by minimally invasive medical treatments.