超能剪在胃肠恶性肿瘤腹腔镜手术中的应用效果观察

The clinical effects of bipolar coagulation scissors on the laparoscopic surgery of gastrointestinal cancer

目的观察超能剪在胃肠恶性肿瘤腹腔镜手术中的应用效果。方法收集2011-10~2014-10于广西壮族自治区人民医院普外科由同一手术者进行胃肠恶性肿瘤腹腔镜手术的264例患者,将其随机分为超能剪手术组148例和超声刀手术组116例,分别接受超能剪辅助的腹腔镜手术及超声刀辅助的腹腔镜手术,比较两组患者的平均手术时间、术中出血量、淋巴结清扫数量、术后3 d平均引流量、术后住院时间。结果超能剪手术组的平均手术时间明显短于超声刀组(P<0.01);两组术中出血量、淋巴结清扫数量、术后3 d平均引流量、术后住院时间比较差异无统计学意义(P>0.05)。结论将超能剪应用于胃肠恶性肿瘤腹腔镜手术能提高手术操作的效率,且使用成本相对较低,有较好的应用前景。

Objective To study the value of bipolar coagulation scissors on the laparoseopie surgery of gastrointestinal cancer. Methods Two hundred and sixty-four gastrointestinal cancer patients who received laparoseopie surgery by the same surgeons from October 2011 to October 2014 in the department of general surgery of the People＇ s Hospital of Guangxi Zhuang Autonomous Region were included in this study. We divided the patients into the bipo- lar coagulation scissors surgery group（ n = 148 ） and the ultrasonic harmonic scalpel surgery group（ n = 116）. The av- erage operation time, blood loss, number of lymph node cleaning, average drainage 3 days after the surgery and the postoperative hospital stay were compared between the two groups. Results The average operation time of the bipolar coagulation scissors surgery group was significantly shorter than that of the ultrasonic harmonic scalpel surgery group （ P 〈 0. Ol ）. There were no significant differences in the blood loss, number of lymph node cleaning and the average drainage 3 days after the surgery between the two groups（ P 〉 0.05）. Conclusion It is economic and feasible to perform laparoseopie surgery on the patients with gastrointestinal cancer using bipolar coagulation scissors.