Cho Hye-Yon, Choi Kong-Ju, Lee Young-Lan, Chang Kylie Hae-Jin, Kim Hong-Bae, Park Sung-Ho
Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam.
JSLS. 2012 Jul-Sep;16(3):456-60. doi: 10.4293/108680812X13462882736259.
To compare the efficacy of 2 bipolar systems during total laparoscopic hysterectomy (TLH): the pulsed bipolar system (PlasmaKinetic; Olympus, Japan) vs. conventional bipolar electrosurgery (Kleppinger bipolar forceps; Richard Wolf Instruments, Vernon Hills, IL).
We retrospectively reviewed medical records of 80 women who underwent TLH for benign gynecologic disease between 2009 and 2010. Forty women received TLH using the conventional bipolar system and another 40 using the pulsed bipolar system. The clinical outcomes and complications were compared between the 2 groups.
No significant differences between the 2 groups were observed in terms of age, body mass index, and hospital stay. However, the blood loss was greater (515.3 ± 41.2mL vs. 467.9 ± 33.4mL, P < .05) and the operation time was longer (173.4 ± 33.4min vs. 157.3 ± 21.3min, P < .05) in the conventional group. Additionally, the uterine weight was lighter in the conventional group (218.5 ± 23.4g vs. 299.4 ± 41.1g, P < .05). None of the surgeries were required to be converted to laparotomy. No significant differences were found in intraoperative or postoperative complications between the groups.
The pulsed bipolar system has some advantages over the conventional system, and therefore, may offer an alternative option for patients undergoing TLH.
比较两种双极系统在全腹腔镜子宫切除术（TLH）中的疗效：脉冲双极系统（PlasmaKinetic；日本奥林巴斯）与传统双极电外科手术（Kleppinger双极钳；美国伊利诺伊州弗农山的Richard Wolf器械公司）。
我们回顾性分析了2009年至2010年间因良性妇科疾病接受TLH的80名女性的病历。40名女性使用传统双极系统进行TLH，另外40名使用脉冲双极系统。比较两组的临床结局和并发症。
两组在年龄、体重指数和住院时间方面未观察到显著差异。然而，传统组的失血量更大（515.3±41.2mL对467.9±33.4mL，P<.05），手术时间更长（173.4±33.4分钟对157.3±21.3分钟，P<.05）。此外，传统组的子宫重量更轻（218.5±23.4g对299.4±41.1g，P<.05）。所有手术均无需转为开腹手术。两组在术中或术后并发症方面未发现显著差异。
脉冲双极系统相对于传统系统具有一些优势，因此，可能为接受TLH的患者提供另一种选择。
