A comparison of Harmonic Scalpel dissection and electricoagulation in laparoscopic colorectal surgery
10.3760/cma.j.issn.1671-0274.2007.z1.007
- VernacularTitle:超声刀与电凝在腹腔镜结直肠癌手术中的疗效比较
- Author:
Ren MA
1
;
Li YAO
;
Zhan HUA
;
Rui-Qin PAN
Author Information
1. 卫生部中日友好医院
- Keywords:
Laparoseopy;
Colorectal surgery;
Harmonic scalpel;
Electricoagulation
- From:
Chinese Journal of Gastrointestinal Surgery
2007;10(z1):24-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and the efficacy of the Harmonic scalpel (HS)dissection compared with general electricoagulation(EC) in laparoscopic colorectal surgery.Methods In this nonrandomized prospective study，82 patients between May 2002 and December 2006 underwent elective laparoscopic colorectal resection.Laparoscopic right hemicolectomy(4)，left hemicolectomy(5)，sigmoidectomy(25)，or low anterior resection(48)were randomized to either electricoagulation or Harmonic scalpel dissection.The data for conversion to open surgery，operative time，blood loss，clips，complication rate，and hospital stay were compared.Results Intraoperative blood loss was significantly less in HS(180.6 ml)versus EC(229.6 ml)(P＜0.05).The number of clips was less in HS(2.3)versus EC(5.1)(P＜0.05).No differences were observed in postoperative time to recover bowl function and postoperative hospital stay.Postoperative complication rates in HS (2.3％)was significantly less as compared to EC(10.5％)(P＜0.05).Conclusion Harmonic scalpel in laparoscopic colorectal surgery can redues intraoperative blood loss，completes majority of laparoscopic procedures，and is technically easy，feasible，reliable.
