LigaSure在腹腔镜胃肠道手术中的应用

LigaSure vessel sealer in laparoscopic gastroenteric surgery

目的 探讨LigaSure在腹腔镜胃肠道手术中的应用价值。 方法 运用腹腔镜结合LigaSure行胃肠道手术 4 5例 ,其中结肠癌手术 14例 ,直肠癌手术 19例 ,胃癌手术 6例 ,小肠癌 1例 ,胃大部切除 5例。均在全麻下实施腹腔镜手术。 结果 4 5例手术均获得成功 ,手术时间 12 0～ 2 2 0min ,出血量 5 0～ 198ml。淋巴结清扫数量 5～ 18枚。无严重并发症发生 ,恶性肿瘤术后病理证实均为腺癌 ,上下切缘无癌组织残留。 结论 LigaSure在腹腔镜胃肠道手术中不仅有较好的止血效果 ,更具有良好的分离解剖的功能。

Objective To explore the value of the LigaSure vessel sealer in laparoscopic gastroenteric surgery. Methods Laparoscopic gastroenteric operations were performed in 45 cases under general anesthesia by using the LigaSure vessel sealer, involving 14 cases of colon cancer, 19 cases of rectum cancer, 6 cases of gastric cancer, 1 case of small intestine cancer and 5 cases of gastric ulcer. Results Laparoscopic operations were performed successfully in all the cases. The operation time was 120～220 minutes, the blood loss was 50～198 ml, and the number of lymph nodes resected was 5～18. No severe complications occurred. Postoperative pathological examination revealed adenocarcinoma in cases of malignant tumors, with negative margins. Conclusions Use of LigaSure vessel sealer in laparoscopic gastroenteric surgery offers not only an excellent hemostatic effect but a satisfactory function for dividing and dissecting tissues.