| 超声刀结合单极电凝应用于腹腔镜胃癌根治术的评价 |
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| 引用本文： | 鱼国盛,汤黎明,钱峻,朱杰. 超声刀结合单极电凝应用于腹腔镜胃癌根治术的评价[J]. 中国微创外科杂志, 2011, 11(12): 1079-1081 |
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| 作者姓名： | 鱼国盛 汤黎明 钱峻 朱杰 |
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| 作者单位： | 南京医科大学附属常州第二人民医院胃肠外科,常州,213003 |
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| 摘 要： | 目的评价腹腔镜胃癌根治术中联合应用超声刀及单极电凝的效果。方法回顾分析2010年1月～2011年3月75例腹腔镜胃癌D2根治术的临床资料,前39例单纯使用超声刀（超声刀组）,后36例联合应用超声刀与单极电凝（联合组）。比较2组手术时间、术中出血量、平均清扫淋巴结个数、术后引流量及术后并发症方面的差异。结果与超声刀组相比,联合组术中出血少[（274±122）ml vs.（186±90）ml,t=3.530,P=0.000],手术时间短[（347±38）min vs.（310±23）min,t=5.049,P=0.000],2组清扫淋巴结个数、术后引流量及并发症发生率差异无显著性（P〉0.05）。结论超声刀与单极电凝联合应用于腹腔镜胃癌根治术,能够充分发挥两种器械的优势,缩短手术时间,减少术中出血,利于淋巴清扫。
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| 关 键 词： | 腹腔镜手术 胃癌 超声刀 单极电凝 |
Ultrasonic Scalpel and Monopolar Electrocoagulation in Laparoscopic-assisted Radical Gastrectomy for Gastric Carcinoma |
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| Yu Guosheng,Tang Liming,Qian Jun,et al.. Ultrasonic Scalpel and Monopolar Electrocoagulation in Laparoscopic-assisted Radical Gastrectomy for Gastric Carcinoma[J]. Chinese Journal of Minimally Invasive Surgery, 2011, 11(12): 1079-1081 |
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| Authors: | Yu Guosheng Tang Liming Qian Jun et al. |
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| Affiliation: | Yu Guosheng,Tang Liming,Qian Jun,et al.Department of Gastrointestinal Surgery,Changzhou Second People's Hospital,Nanjing Medical University,Changzhou 213003,China |
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| Abstract: | Objective To evaluate the outcome of ultrasonic scalpel combined with monopolar electrocoagulation in laparoscopic-assisted radical gastrectomy for gastric carcinoma.Methods From January 2010 to March 2011,75 patients with curable gastric carcinoma underwent laparoscopic-assisted radical gastrectomy,of which 39 patients were treated solely by ultrasonic scalpel,the other 36 patients underwent ultrasonic scalpel combined with monopolar electrocoagulation.The operation time,intraoperative blood loss,number of... |
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| Keywords: | Laparoscopic surgery Gastric carcinoma Ultrasonic scalpel Monopolar electrocoagulation |
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