超声刀在腹腔镜结直肠癌根治术中的应用价值

The application value of ultracision in laparoscopic resection of colorectal cancer

目的探讨超声刀在腹腔镜结、直肠癌手术中的临床应用价值。方法回顾性总结2004年1月～2006年6月腹腔镜结直肠癌病例63例,分为使用超声刀组和不使用超声刀组,通过比较手术时间、出血量、术中淋巴结清扫数目、并发症等评价超声刀在腹腔镜结直肠癌根治术中的应用价值。结果在超声刀组手术平均时间150min,平均出血量65mL,无严重并发症发生,其中手术时间、出血量较对照组差异有显著性(P<0.05)。结论超声刀的应用,使腹腔镜结直肠癌根治技术更安全、更可靠、更精确,具有比高频电刀更好的使用价值。

[Objective] To explore the value of ultracision in laparoscopic resection of colorectal cancer. [Methods] From January 2004 to June 2006, 63 cases with colorectal cancer were divided into two groups retrospectively of ultracision group and no-uhracision group. To evaluate the value of ultracision in laparoscopic resection of colorectal cancer by comparing the operation time, volume of blood loss, numbers of lymph node and complications. [Results] The mean operation time and volume of blood loss in ultracision group is 150 minutes and 65 mL respectively,which have significant difference from the control group. [ Conclusion] Laparoscopic resection of colorectal cancer using ultracision is more safe, more reliable and more precise than using high frequency electro surgical unit.