超声刀在腹腔镜胃肠手术中的使用技巧

Practical skills of harmonic scalpel in laparoscopic gastrointestinal surgery

超声刀作为当今外科手术中最常用的能量工具之一．被认为是影响传统外科发展的革命性产品。凶其在切割、止血、分离等方面的优势，越来越多的腹腔镜外科医生在胃肠手术巾使用超声刀进行相应操作。然而，胃肠手术操作具有相对特殊性．涉及游离胃或肠周系膜结缔组织、裸化离断特定血管等操作，超声刀的合理使用就显得尤为重要。基于在腹腔镜胃肠手术中使用超声刀过程中积累的有限体会与经验，本文总结了超声刀使用的“几种刀法”，以期对初学者合理使用有所帮助。

Harmonic scalpel, one of the most commonly used energy tools, have been recognized as an important revolutionary development in surgical device. Due to its convenience in cutting, coagulating, and dissecting harmonic scalpel has been increasingly used to performed surgery by more and more surgeons. In gastrointestinal surgeries, however, many manipulationssuch as dissecting soft connective tissues off the stomach or colon, isolating and cutting particular vessels, would require proper techniques in handling harnmnic scalpels. Thus, based on our experiences of using harmonic scalpel in laparoscopic gastrointestinal surgeries, we summarized a ＂nine-wurd tactics＂, which may be helpful tot beginners to use harmonic scalpels in a proper and efficient manner.