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腹腔镜血管密封技术。

Laparoscopic vessel sealing technologies.

机构信息

Department of Endo-Gynaecology, Royal Hospital for Women, Sydney, Australia, and University of New South Wales, Sydney, Australia.

出版信息

J Minim Invasive Gynecol. 2013 May-Jun;20(3):301-7. doi: 10.1016/j.jmig.2013.02.012.

DOI:10.1016/j.jmig.2013.02.012
PMID:23659750
Abstract

Laparoscopic vessel sealing devices have revolutionized modern laparoscopy. These devices fall into 2 major categories: advanced bipolar and ultrasonic instruments. The range of tissue effects available with these technologies is more limited than with conventional monopolar electrosurgery; however, both advanced bipolar and ultrasonic devices efficiently seal vessels (≤7-mm and ≤5-mm diameter, respectively), and most also have built-in tissue transection capabilities. These technologies have been the subject of a range of comparative studies on their relative advantages and disadvantages, and, to date, neither advanced bipolar or ultrasonic devices has been proven to be superior.

摘要

腹腔镜血管密封设备彻底改变了现代腹腔镜技术。这些设备主要分为两类:高级双极和超声仪器。与传统的单极电外科相比,这些技术提供的组织效果范围更有限;然而,高级双极和超声设备都能有效地密封血管(分别为≤7 毫米和≤5 毫米直径),并且大多数还具有内置的组织切割功能。这些技术一直是关于它们相对优缺点的一系列比较研究的主题,到目前为止,高级双极或超声设备都没有被证明具有优势。

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