目的 探讨超声刀(ultrasonic harmonic scalpel,UHS)在消化道恶性肿瘤开腹手术中的应用价值。
方法 回顾性分析2009年10月至2011年10月期间广西壮族自治区人民医院普通外科-小儿外科收治并由同一手术者进行消化道恶性肿瘤开腹手术的186例患者的临床资料,根据接受手术的种类(UHS开腹手术或传统电刀开腹手术)将其分为UHS组(86例)和传统电刀组(100例),比较2组患者的手术切口长度、手术时间、术中出血量、术后3d引流量、术后住院时间以及住院总费用。
结果 UHS组手术切口长度、手术时间、术中出血量以及术后住院时间均短于(少于)传统电刀组(P<0.05);术后3d引流量和住院总费用2组间比较差异均无统计学意义(P>0.05)。
结论 将UHS应用于消化道恶性肿瘤开腹手术可获得较好的效果,能提高手术操作的效率,具有很好的应用前景。
Citation:
邓洪强,吴鸿根,刘超. Application of Ultrasonic Harmonic Scalpel in The Open Surgical Treatment of Gastrointestinal Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(10): 1117-1119. doi:
Copy
Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
1. |
Jemal A, Siegel R, Ward E, et al. Cancer statistics, 2009[J]. CA Cancer J Clin, 2009, 59(4):225-249.
|
2. |
Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer:short-term outcomes of a randomised trial[J]. Lancet Oncol, 2005, 6(7):477-484.
|
3. |
Skoropad Vlu, Berdov BA. D2 lymphadenectomy for surgical and combined treatment of the gastric cancer[J]. Khirurgiia (Mosk), 2010, (4):26-29.
|
4. |
Koh YW, Park JH, Lee SW, et al. The harmonic scalpel technique without supplementary ligation in total thyroidectomy with central neck dissection:a prospective randomized study[J]. Ann Surg, 2008, 247(6):945-949.
|
5. |
Zhou BJ, Song WQ, Yan QH, et al. Ultrasonically activated scalpel versus monopolar electrocautery shovel in laparoscopic total mesorectal excision for rectal cancer[J]. World J Gastroenterol, 2008, 14(25):4065-4069.
|
6. |
Edge SB, Byrd DR, Compton CC, et al. AJCC cancer staging manual[M]. 7th ed. New York:Springer-Verlag, 2009:117-126.
|
7. |
李正荣, 揭志刚, 刘逸, 等. 新型超声刀在胃癌根治术中的应用[J/CD]. 中华普通外科学文献(电子版), 2009, 3(6):510-512.
|
8. |
李全福, 马会敏. 心脏起搏器植入患者腹腔镜手术超声刀临床应用的研究[J]. 腹腔镜外科杂志, 2003, 8(2):111-113.
|
9. |
Roye GD, Monchik J, Amaral JF. Endoscopic adrenalectomy using ultrasonic cutting and coagulating[J]. Surg Technol Int, 2000, IX:129-138.
|
10. |
Nduka CC, Poland N, Kennedy M, et al. Does the ultrasonically activated scalpel release viable airborne cancer cells[J]. Surg Endosc, 1998, 12(8):1031-1034.
|
11. |
Koch C, Friedrich T, Metternich F, et al. Determination of temperature elevation in tissue during the application of the harmonic scalpel[J]. Ultrasound Med Biol, 2003, 29(2):301-309.
|
12. |
Amaral JF. Ultrasound for cutting and coagulating tissue:problems in general surgery[J]. Surg Ene Sour, 2002, 19(1):47-59.
|
13. |
Manouras A, Markogiannakis HE, Kekis PB, et al. Novelhemostatic devices in thyroid surgery:electrothermal bipolarvessel sealing system and harmonic scalpel[J]. Expert Rev Med Devices, 2008, 5(4):447-466.
|
14. |
Stoff A, Reichenberger MA, Richter DF. Comparing theultrasonically activated scalpel(harmonic)with highfrequency electrocautery for postoperative serous drainage in massive weight loss surgery[J]. Plast Reconstr Surg, 2007, 120(4):1092-1093.
|
15. |
林亚华, 王祎波, 王瑜, 等. 超声刀和电刀对胃癌患者手术前后免疫功能及应激的影响[J]. 中华临床医师杂志(电子版), 2011, 5(4):975-978.
|
16. |
何威, 邓海军, 余江, 等. 腹腔镜与开腹直肠癌根治术对机体C反应蛋白及体液免疫影响的比较[J]. 中华胃肠外科杂志, 2009, 12(4):357-360.
|
- 1. Jemal A, Siegel R, Ward E, et al. Cancer statistics, 2009[J]. CA Cancer J Clin, 2009, 59(4):225-249.
- 2. Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer:short-term outcomes of a randomised trial[J]. Lancet Oncol, 2005, 6(7):477-484.
- 3. Skoropad Vlu, Berdov BA. D2 lymphadenectomy for surgical and combined treatment of the gastric cancer[J]. Khirurgiia (Mosk), 2010, (4):26-29.
- 4. Koh YW, Park JH, Lee SW, et al. The harmonic scalpel technique without supplementary ligation in total thyroidectomy with central neck dissection:a prospective randomized study[J]. Ann Surg, 2008, 247(6):945-949.
- 5. Zhou BJ, Song WQ, Yan QH, et al. Ultrasonically activated scalpel versus monopolar electrocautery shovel in laparoscopic total mesorectal excision for rectal cancer[J]. World J Gastroenterol, 2008, 14(25):4065-4069.
- 6. Edge SB, Byrd DR, Compton CC, et al. AJCC cancer staging manual[M]. 7th ed. New York:Springer-Verlag, 2009:117-126.
- 7. 李正荣, 揭志刚, 刘逸, 等. 新型超声刀在胃癌根治术中的应用[J/CD]. 中华普通外科学文献(电子版), 2009, 3(6):510-512.
- 8. 李全福, 马会敏. 心脏起搏器植入患者腹腔镜手术超声刀临床应用的研究[J]. 腹腔镜外科杂志, 2003, 8(2):111-113.
- 9. Roye GD, Monchik J, Amaral JF. Endoscopic adrenalectomy using ultrasonic cutting and coagulating[J]. Surg Technol Int, 2000, IX:129-138.
- 10. Nduka CC, Poland N, Kennedy M, et al. Does the ultrasonically activated scalpel release viable airborne cancer cells[J]. Surg Endosc, 1998, 12(8):1031-1034.
- 11. Koch C, Friedrich T, Metternich F, et al. Determination of temperature elevation in tissue during the application of the harmonic scalpel[J]. Ultrasound Med Biol, 2003, 29(2):301-309.
- 12. Amaral JF. Ultrasound for cutting and coagulating tissue:problems in general surgery[J]. Surg Ene Sour, 2002, 19(1):47-59.
- 13. Manouras A, Markogiannakis HE, Kekis PB, et al. Novelhemostatic devices in thyroid surgery:electrothermal bipolarvessel sealing system and harmonic scalpel[J]. Expert Rev Med Devices, 2008, 5(4):447-466.
- 14. Stoff A, Reichenberger MA, Richter DF. Comparing theultrasonically activated scalpel(harmonic)with highfrequency electrocautery for postoperative serous drainage in massive weight loss surgery[J]. Plast Reconstr Surg, 2007, 120(4):1092-1093.
- 15. 林亚华, 王祎波, 王瑜, 等. 超声刀和电刀对胃癌患者手术前后免疫功能及应激的影响[J]. 中华临床医师杂志(电子版), 2011, 5(4):975-978.
- 16. 何威, 邓海军, 余江, 等. 腹腔镜与开腹直肠癌根治术对机体C反应蛋白及体液免疫影响的比较[J]. 中华胃肠外科杂志, 2009, 12(4):357-360.