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Obes Surg. 2015 Aug;25(8):1454-7. doi: 10.1007/s11695-014-1551-0.
2
Bariatric surgery interest around the world: what Google Trends can teach us.全球对减肥手术的兴趣：谷歌趋势能给我们的启示
Surg Obes Relat Dis. 2014 May-Jun;10(3):533-8. doi: 10.1016/j.soard.2013.10.007. Epub 2013 Oct 19.
3
Laparoscopic vessel sealing technologies.腹腔镜血管密封技术。
J Minim Invasive Gynecol. 2013 May-Jun;20(3):301-7. doi: 10.1016/j.jmig.2013.02.012.
4
Electrosurgical generators and monopolar and bipolar electrosurgery.电外科发生器和单极及双极电外科。
J Minim Invasive Gynecol. 2013 May-Jun;20(3):279-87. doi: 10.1016/j.jmig.2013.02.013.
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Common uses and cited complications of energy in surgery.手术中能量的常见用途和引用的并发症。
Surg Endosc. 2013 Sep;27(9):3056-72. doi: 10.1007/s00464-013-2823-9. Epub 2013 Apr 23.
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Safety and efficacy of new integrated bipolar and ultrasonic scissors compared to conventional laparoscopic 5-mm sealing and cutting instruments.新型集成双极和超声剪刀与传统腹腔镜 5mm 密封切割器械的安全性和有效性比较。
Surg Endosc. 2012 Sep;26(9):2541-9. doi: 10.1007/s00464-012-2229-0. Epub 2012 Mar 24.
7
Electrothermal bipolar vessel sealing system vs. harmonic scalpel in colorectal laparoscopic surgery: a prospective, randomized study.电热双极血管封闭系统与谐波手术刀在结直肠腹腔镜手术中的应用：一项前瞻性随机研究。
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Comparison of four energy-based vascular sealing and cutting instruments: A porcine model.四种基于能量的血管封闭和切割器械的比较：猪模型
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10
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腹腔镜Roux-en-Y胃旁路手术中超声刀与结扎速血管闭合系统的比较

Comparison of Harmonic scalpel and Ligasure devices in laparoscopic Roux-en-Y gastric bypass.

作者信息

Kirmizi Serdar, Kayaalp Cuneyt, Karagul Servet, Tardu Ali, Ertugrul Ismail, Sumer Fatih, Yagci Mehmet Ali

机构信息

Department of Gastrointestinal Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2017;12(1):28-31. doi: 10.5114/wiitm.2017.66641. Epub 2017 Mar 15.

DOI:10.5114/wiitm.2017.66641
PMID:28446929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5397550/
Abstract

INTRODUCTION

Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most preferred bariatric procedures in the world for surgical treatment of morbid obesity. The Harmonic scalpel (HS) and LigaSure (LS) are the most commonly used devices in laparoscopic surgery. As far as we know, there is no comparative study of the two energy devices in LRYGB for morbid obesity.

AIM

To compare the intraoperative performances of the two energy devices in LRYGB for morbid obesity.

MATERIAL AND METHODS

The HS and LS were used in 43 and 42 cases, respectively. The patient demographics of both groups were comparable. The duration of the procedures (gastric pouch creation time and total operation time), quantity of bleeding (during gastric pouch creation and total quantities of bleeding) and the number of pneumoperitoneum desufflations due to smoking that impaired sight fields were recorded prospectively.

RESULTS

Gastric pouch creation time (HS: 22.5 ±9.5 vs. LS: 19.5 ±9.7 min, p = 0.15), bleeding during gastric pouch preparation (HS: 15.3 ±30.5 vs. LS: 17.5 ±31.3 ml, p = 0.74), total operation time (HS: 183.2 ±47 vs. LS: 165.3 ±37.1 min, p = 0.06) and total bleeding (HS: 110 ±195.5 vs. LS: 102.5 ±70 ml, p = 0.81) were similar in the two groups. Only the mean number of pneumoperitoneum desufflations due to smoking was lower in the HS group (HS: 0.28 ±0.49 vs. LS: 0.57 ±0.78, p = 0.04).

CONCLUSIONS

The HS and LS performed similarly in LRYGB, with fewer desufflations from smoking in the HS group.

摘要

引言

腹腔镜Roux-en-Y胃旁路术（LRYGB）是世界上治疗病态肥胖最常用的减肥手术之一。超声刀（HS）和血管闭合系统（LS）是腹腔镜手术中最常用的器械。据我们所知，目前尚无关于这两种能量器械在LRYGB治疗病态肥胖中的对比研究。

目的

比较两种能量器械在LRYGB治疗病态肥胖中的术中表现。

材料与方法

分别对43例和42例患者使用HS和LS。两组患者的人口统计学特征具有可比性。前瞻性记录手术时间（胃囊创建时间和总手术时间）、出血量（胃囊创建期间及总出血量）以及因烟雾影响视野导致的气腹放气次数。

结果

两组患者的胃囊创建时间（HS组：22.5±9.5分钟 vs. LS组：19.5±9.7分钟，p = 0.15）、胃囊制备期间的出血量（HS组：15.3±30.5毫升 vs. LS组：17.5±31.3毫升，p = 0.74）、总手术时间（HS组：183.2±47分钟 vs. LS组：165.3±37.1分钟，p = 0.06）和总出血量（HS组：110±195.5毫升 vs. LS组：102.5±70毫升，p = 0.81）相似。仅HS组因烟雾导致的气腹平均放气次数较低（HS组：0.28±0.49次 vs. LS组：0.57±0.78次，p = 0.04）。

结论

HS和LS在LRYGB中的表现相似，但HS组因烟雾导致的放气次数较少。