McKernan J B, Stuto A, Champion J K
Department of Surgery, Emory University, Atlanta, Georgia, USA.
Surg Laparosc Endosc. 1996 Oct;6(5):335-40.
Bipolar electrocautery is associated with a lower risk of tissue injury from an inadvertent energy transfer compared with monopolar diathermy, and bipolar coagulation has been effectively employed in obstetric and gynecologic procedures. The present report describes the successful use of bipolar diathermy during general laparoscopic surgery. Hemostasis and closure of even large vessels was possible with the use of bipolar forceps during laparoscopic cholecystectomy, fundoplication, appendectomy, and highly selective vagotomy procedures. No intraoperative complications resulting from bleeding were apparent in this series of 296 laparoscopic operations, nor were any postoperative complications suggestive of inadvertent tissue damage, such as peritonitis, apparent. Thus, these results suggest that bipolar coagulation can be used safely and without difficulty in laparoscopic surgical procedures.
与单极透热法相比，双极电烙术因意外能量传递导致组织损伤的风险较低，并且双极电凝已有效地应用于妇产科手术。本报告描述了双极透热法在普通腹腔镜手术中的成功应用。在腹腔镜胆囊切除术、胃底折叠术、阑尾切除术和高选择性迷走神经切断术过程中，使用双极钳可以实现对大血管的止血和闭合。在这296例腹腔镜手术系列中，未出现因出血导致的术中并发症，也未出现任何提示意外组织损伤的术后并发症，如腹膜炎。因此，这些结果表明双极电凝在腹腔镜手术中可以安全且顺利地使用。
