Application of ultrasonic harmonic scalpel in open radical gastrectomy of proximal gastric cancer
10.3760/cma.j.issn.1008-6706.2012.08.015
- VernacularTitle:超声刀在经腹近端胃癌根治术中的应用
- Author:
Jianhao HUANG
;
Keyi ZHANG
;
Zhiyong WU
;
Yanghang FAN
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Gastrectomy;
Ultracision harmonic scalpel
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;(8):1149-1150
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the practicability and security of the ultracision harmonic scalpel in radical gastrectomy for patients with proximal gastric cancer.Methods115 patients of stage Ⅰ ～ Ⅲ proximal gastric cancer undergone radical gastrectomy were analyzed retrospectively.65 patients were performed with ultracision harmonic scalpel,the other 50 patients were performed with conventional operation.The operative time,volume of intraoperative hemorrhage,length of incision,and postoperative complications were analyzed.ResultsThere were significant difference in operative time ( 126.9 ± 20.7 ) min and ( 150.6 ± 31.7 ) min ( P ＜ 0.05 ),volume of intraoperative hemorrhage (105.7 ±40.3)ml and (171.7 ±63.2)ml(P＜0.01) and length of incision(17.2 ±2.1)cm and (20.3 ±2.3)cm (P ＜ 0.05 ).There was no significant difference in the postoperative complications between ultracisiou harmonic scalpel group and conventional group.All patients recovered without severe complications.ConclusionRadical resection of proximal gastric cancer using ultracision harmonic scalpel could shorten operative time,decrease intraoperative hemorrhage,shorten incision length,and the technique is convenient and safe.
