Prgomet Drago, Janjanin Sasa, Bura Miljenko, Bilić Mario, Prstacić Ratko, Katić Vladimir
Klinika za bolesti uha, nosa i grla i kirurgiju glave i vrata Medicinskog fakulteta Zagreb, Klinicki bolnicki centar Zagreb.
Lijec Vjesn. 2008 Jul-Aug;130(7-8):178-82.
The harmonic scalpel cuts and coagulates simultaneously using a mechanical vibration. The present article reports our experience in the use of this instrument. Over a period of 5 months, we performed 123 thyroidectomies, 13 parotidectomies and 25 tonsillectomies using the harmonic scalpel. 106 thyroidectomies, 9 parotidectomies and 30 tonsillectomies were performed with the use of conventional hemostatic techniques (electrocautery and knot tying). The use of harmonic scalpel shortened the duration of thyroid and parotid surgery by 20-30% as compared with the conventional techniques. The average incision length for those undergoing thyroidectomy with the harmonic scalpel was 1.5 cm shorter compared with the conventional thyroidectomy group. The use of harmonic scalpel shortened the average duration of tonsillectomy by 5.5 minutes. Postoperative pain and complication rate were comparable for both groups. The use of the harmonic scalpel reduces surgical time and intraoperative blood loss, and enables shorter incision length in thyroid surgery.
超声刀利用机械振动同时进行切割和凝血。本文报告了我们使用该器械的经验。在5个月的时间里，我们使用超声刀进行了123例甲状腺切除术、13例腮腺切除术和25例扁桃体切除术。使用传统止血技术（电灼和打结）进行了106例甲状腺切除术、9例腮腺切除术和30例扁桃体切除术。与传统技术相比，超声刀的使用使甲状腺和腮腺手术的时间缩短了20%至30%。与传统甲状腺切除术组相比，使用超声刀进行甲状腺切除术的患者平均切口长度短1.5厘米。超声刀的使用使扁桃体切除术的平均时间缩短了5.5分钟。两组的术后疼痛和并发症发生率相当。超声刀的使用减少了手术时间和术中失血，并使甲状腺手术的切口长度更短。
