Salvia Roberto, Malleo Giuseppe, Marchegiani Giovanni, Butturini Giovanni, Esposito Alessandro, Bassi Claudio
Unit of Surgery B, The Pancreas Institute, Department of Surgery and Oncology, University of Verona Hospital Trust, Verona, Italy.
Dig Surg. 2014;31(4-5):249-54. doi: 10.1159/000363071. Epub 2014 Oct 14.
Ultrasonically activated shears enable the effective cutting and hemostasis of tissue, and have been shown to offer significant benefits in surgical procedures requiring fine dissection. Harmonic Focus®, one of the latest ultrasonic devices, is a clip-like, light-weight, hand-held instrument with curved thin shears. Experience with Harmonic Focus in pancreatic surgery is limited. We have performed more than 1,000 pancreatic resections with this device. It may well represent a valuable tool for the extensive tissue and vascular dissection that is required in pancreaticoduodenectomy. In particular, Harmonic Focus performs very well in lymph node dissection, which is central in cancer surgery. In this report, we describe pancreaticoduodenectomy for pancreatic-head and periampullary cancer with the Harmonic Focus device.
超声激活剪刀能够有效切割组织并实现止血，且已证实在需要精细解剖的外科手术中具有显著优势。最新的超声设备之一Harmonic Focus®是一种类似夹子的、轻便的手持器械，带有弯曲的细剪刀。Harmonic Focus在胰腺手术中的应用经验有限。我们使用该设备进行了1000多例胰腺切除术。它很可能是胰十二指肠切除术中广泛组织和血管解剖所需的一种有价值的工具。特别是，Harmonic Focus在淋巴结清扫方面表现出色，而淋巴结清扫在癌症手术中至关重要。在本报告中，我们描述了使用Harmonic Focus设备进行的胰头和壶腹周围癌的胰十二指肠切除术。
