Rosenberg J, Bisgaard T
H:S Hvidovre Hospital, kirurgisk gastroenterologisk afdeling 435.
Ugeskr Laeger. 2001 Jan 29;163(5):616-7.
Use of electrocautery for laparoscopic surgery in patients with implanted pacemakers can create serious pace dysfunction. In these patients, the innovation of ultrasonic coagulation shears has provided the potential for safe routine laparoscopic cholecystectomy. We present a case where laparoscopic cholecystectomy was performed with the ultrasonic dissecting hook. The operation was converted to laparotomy due to unclear anatomy with further dissection using the ultrasonic hook. The intra- and postoperative courses were uneventful with no cardiac arrhythmias. More attention should be drawn towards this new surgical device so that patients with pacemakers may undergo routine laparoscopic surgery.
对植入起搏器的患者使用电灼进行腹腔镜手术可导致严重的起搏器功能障碍。对于这些患者，超声凝血剪的创新为安全进行常规腹腔镜胆囊切除术提供了可能。我们报告一例使用超声解剖钩进行腹腔镜胆囊切除术的病例。由于解剖结构不清楚，使用超声钩进一步分离，手术转为开腹手术。术中和术后过程顺利，未出现心律失常。应更多关注这种新型手术器械，以便植入起搏器的患者能够接受常规腹腔镜手术。
