Ligasure血管闭合系统在腹腔镜肾上腺切除术中的应用

Application of Ligasure vessel sealing system in laparoscopic adrenalectomy

目的探讨Ligasure血管闭合系统在腹腔镜肾上腺切除术中的应用价值。方法2004年3月～2007年2月对52例患者实施了后腹腔镜肾上腺切除术,其中28例术中应用超声止血刀进行手术操作,24例应用Ligasure血管闭合系统,观察分析两组患者的临床资料。结果52例手术均获成功,无中转开放手术及严重并发症。两组患者在手术时间、术中出血量、术后引流时间及术后总引流量方面差异有显著性(P<0.05),而术后住院天数差异无显著性(P>0.05)。结论Ligasure在腹腔镜肾上腺切除过程中能直接闭合切断肾上腺血管及周围组织,术中免用血管夹,可明显减少手术时间和术中术后出血,充分显示其安全、可靠、高效的优越性。

[Objective] To explore the value of the Ligasure vessel sealing system in laparoscopic adrenalectomy surgery. [Methods] Laparoscopic adrenalectomy was performed in 52 cases from March 2004 to February 2007 by using harmonic scalpel（28 cases） and Ligasure （24 cases）. The clinical data was recorded and studied retrospectively. [Results] All procedures were finished successfully without conversion to open surgery. No severe vascular complication or other serious complications happened. There were significant differences between two groups regarding to clinical data mentioned above except postoperative hospital day. [Conclusions] The Ligasure vessel-sealing system can be directly used to seal adrenal vessels and tissue bundles in laparoscopic adrenalectomy. Treatment with Ligasure is a safe and effective method to reduce operative time and blood loss.