Department of General Surgery, Misericordia and Dolce Hospital, Piazza dell'Ospedale 5, 59100 Prato, Po, Italy.
Updates Surg. 2011 Jun;63(2):103-7. doi: 10.1007/s13304-011-0059-6. Epub 2011 Mar 11.
This retrospective study was conducted to examine the safety and effectiveness of polymeric absorbable clips in laparoscopic gallbladder and colorectal surgery. The prospectively maintained database review included all patients undergoing elective laparoscopic cholecystectomy and colorectal resection at the institution between November 2004 and December 2009. In each patient, absorbable clips were used as the only system of vascular and cystic duct ligation. Of the 911 patients who satisfied the inclusion criteria, 664 underwent laparoscopic cholecystectomy and 247 underwent laparoscopic colonic resection. No intra-operative or post-operative bleeding related to absorbable clip use occurred in either procedure. No bile duct injuries or cystic duct leakages were observed. There were no peri-operative deaths with either procedure. In this experience, absorbable clips demonstrated easy handling and high reliability. They provided safe hemostasis and permitted complete and adequate oncologic resection.
本回顾性研究旨在探讨聚合可吸收夹在腹腔镜胆囊和结直肠手术中的安全性和有效性。前瞻性维护的数据库回顾包括 2004 年 11 月至 2009 年 12 月期间在该机构接受择期腹腔镜胆囊切除术和结直肠切除术的所有患者。在每位患者中，可吸收夹仅用作血管和胆囊管结扎的唯一系统。在符合纳入标准的 911 名患者中，664 名接受了腹腔镜胆囊切除术，247 名接受了腹腔镜结肠切除术。在这两种手术中，均未发生与可吸收夹使用相关的术中或术后出血。未观察到胆管损伤或胆囊管漏。这两种手术均无围手术期死亡。在本经验中，可吸收夹表现出易于操作和高可靠性。它们提供了安全的止血，并允许完全和充分的肿瘤切除。
