Abstract: ObjectiveTo compare the clinical application effects between ultrasound knife and electric coagulation hook in emergency laparoscopic cholecystectomy (LC).MethodsThe clinical data of 92 cases receivedemergency LC were analyzed retrospectively. During the LC, ultrasound knife was applied in 49 patients as ultrasonic knife group, and electric coagulation hook was used in 43 patients as electric coagulation hook group. The intra- and post-operative indicators were compared between the two groups.ResultsAll 92 cases underwent emergency LC, but 4 cases of electric coagulation hook group conversed to open surgery due to intra-operative active bleeding (2 cases) and partial common bile duct injury (2 cases). Postoperative seroperitoneum infection was found in 4 cases of ultrasonic knife group and 3 cases of electric coagulation hook group, and was improved by anti-infection and prolonging drainage time. There was no biliary fistula in both groups. The operation time, intra-operative blood loss, drainage volume within 24 hours, drainage duration， hospital stays and transference rate in the ultrasonic knife group was lower than those in the electric coagulation hook group, and the differences were statistically between two groups (P<0.05). But there was no statistical difference in intraoperative bile duct injury and postoperative seroperitoneum infection rate between two groups (P>0.05).ConclusionsThe application of ultrasound knife has advantages of precise cutting, less tissue damage, ideal hemostatic effect, less bleeding, and short operating time in emergency LC. And it can achieve good clinical effects by clear operative visual fields, and anatomic structure and reducing the rate of biliary injury and transfer laparotomy.
陈佳栋1，孙颢1，高友福1，汤莹2. 超声刀与电凝钩在急诊腹腔镜胆囊切除术中的应用[J]. 中国现代手术学杂志, 2017, 21(4): 257-260.
CHEN Jia-dong. Clinical Control Study on Application of Ultrasound Knife and Electric Coagulation Hook in EmergencyLaparoscopic Cholecystectomy. Chinese Journal of Modern Operative Surgery, 2017, 21(4): 257-260.
Suliman E, Palade R. Laparoscopic cholecystectomy for treating acute cholecystitis----possibilities and limitations[J]. Chirurgia (Bucur), 2013, 108(1):32-37. |
2017, Vol. 21 
