Diamantis Theodoros, Gialikaris Spyridon, Kontos Michael, Gakiopoulou Chariklia, Felekouras Evangelos, Papalois Apostolos, Agrogiannis George, Patsouris Efstratios, Bastounis Elias
Department of Surgery, Laiko University Hospital, Athens, Greece.
Surg Laparosc Endosc Percutan Tech. 2008 Aug;18(4):384-90. doi: 10.1097/SLE.0b013e31816f85c9.
The safety and efficacy of the Ligasure-8 Generator with the new Ligasure V 5-mm forceps (Valleylab, Tyco Healthcare) (LS) and the Ultracision Harmonic Scalpel Generator 300 with the new 5 mm 36p Harmonic Ace forceps (Ethicon Endo-Surgery ING) (UC) are compared. Twenty New Zealand rabbits were randomly allocated into 2 groups and the short gastric vessels were divided with either LS or UC. The speed of each method, the number of the times it had to be applied, gastric perforation rates and histopathologic findings were recorded. Approximately the same number of applications was necessary for the 2 groups. UC was significantly faster but resulted in contained perforation in 3 cases against 1 for LS (difference statistically not significant). A tendency for deeper and more severe histopathologic damages was seen with UC. For routine fast dissection, UC is satisfactory, but where prevention of thermal injury is important, LS may be more appropriate.
对配备新型Ligasure V 5毫米钳（柯惠医疗，泰科医疗集团）的Ligasure-8发生器（LS）和配备新型5毫米36p谐波超声刀钳（爱惜康内镜外科公司）的超声切割止血刀发生器300（UC）的安全性和有效性进行了比较。将20只新西兰兔随机分为两组，分别用LS或UC切断胃短血管。记录每种方法的速度、应用次数、胃穿孔率和组织病理学结果。两组所需的应用次数大致相同。UC明显更快，但导致3例局限性穿孔，而LS为1例（差异无统计学意义）。UC有导致更深、更严重组织病理学损伤的倾向。对于常规快速解剖，UC是令人满意的，但在预防热损伤很重要的情况下，LS可能更合适。
