Perko Zdravko, Druzijanić Nikica, Kraljević Damir, Bilan Kanito, Juricić Josko, Mimica Zeljko, Boschi Vladimir, Grandić Leo, Srsen Darko
University Department of Surgery, University Hospital Split, Split, Croatia.
Coll Antropol. 2006 Mar;30(1):251-3.
The use of ultrasonically activated scalpel for tissue cutting and coagulation is a potential replacement for electrosurgery, which can be related to different complications. Its working principle is to transform the electric power into the mechanical longitudinal movement of the working part of the instrument, by a piezoelectric transducer situated in the hand piece. Between October 2000 and June 2004, six patients with abdominal cysts were treated by laparoscopy, using the harmonic scalpel. The average age was 40.8 (ranging from 15-60) years. Laparoscopic abdominal cyst fenestration was performed in five patients, and laparoscopic cholecystectomy and abdominal cyst fenestration were done in one patient during the same operation. The average duration of the operation was 40 (ranging from 25-70) minutes and hospital stay was 2.8 (ranging from 1-5) days. Laparoscopic abdominal cyst fenestration using the harmonic scalpel is a safe and successful operation, with good results including all the advantages of the minimally invasive surgery.
使用超声刀进行组织切割和凝血是电外科手术的一种潜在替代方法，电外科手术可能会引发不同的并发症。其工作原理是通过位于手持部件中的压电换能器，将电能转化为器械工作部分的机械纵向运动。在2000年10月至2004年6月期间，6例腹部囊肿患者接受了腹腔镜手术，使用了超声刀。平均年龄为40.8岁（范围为15 - 60岁）。5例患者进行了腹腔镜腹部囊肿开窗术，1例患者在同一手术中进行了腹腔镜胆囊切除术和腹部囊肿开窗术。手术平均时长为40分钟（范围为25 - 70分钟），住院时间为2.8天（范围为1 - 5天）。使用超声刀进行腹腔镜腹部囊肿开窗术是一种安全且成功的手术，效果良好，具备微创手术的所有优点。
