Ultrasonic-mediated laparoscopic liver transection

被引：31

作者：

Aldrighetti, Luca ^{[1
]}

Pulitano, Carlo ^{[1
]}

Arru, Marcella ^{[1
]}

Catena, Marco ^{[1
]}

Guzzetti, Eleonora ^{[1
]}

Casati, Massimiliano ^{[1
]}

Ferla, Gianfranco ^{[1
]}

机构：

[1] Univ Vita Salute San Raffaele, San Raffaele Sci Inst, Dept Surg Liver Unit, I-20132 Milan, Italy

来源：

AMERICAN JOURNAL OF SURGERY | 2008年 / 195卷 / 02期

关键词：

liver surgery; laparoscopic liver resection; ultrasonic dissector; ultrasonic coagulating cutter;

D O I：

10.1016/j.amjsurg.2007.02.022

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Parenchymal liver transection represents a fundamental phase of liver surgery. Several devices have been described for safe and careful dissection of the liver parenchyma during laparoscopic liver surgery, but the ideal technique has not yet been defined. This report describes the combined use of ultrasonic dissector and the ultrasonic coagulating cutter for laparoscopic liver resection. The ultrasonic dissector is used to fracture the parenchyma along the line of proposed division, and the uncovered bridging structures are sealed using the ultrasonic coagulating cutter. The combined use of ultrasonic dissector and harmonic scalpel allows liver resection to be safely performed, with the advantage of minimal surgical complication and low blood losses. (C) 2008 Excerpta Medica Inc. All rights reserved.

引用

页码：270 / 272

页数：3

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