Robbins M L, Ferland R J
Gynecology and Obstetrics, 8740 North Kendall Drive, Suite 218, Miami, FL 33176, USA.
J Am Assoc Gynecol Laparosc. 1995 May;2(3):339-43. doi: 10.1016/s1074-3804(05)80120-3.
The use of the Laparosonic Coagulating Shears (LCS) for laparoscopic-assisted vaginal hysterectomy (LAVH) was evaluated in three women. The indications for surgery included chronic pelvic pain, adhesions, endometriosis, symptomatic uterine fibroids, and abnormal bleeding. The entire laparoscopic portion of the LAVH was performed with the LCS. All three patients had an uneventful postoperative course, and continue to do well one year postoperatively. The harmonic scalpel produces surgical incisions with concomitant hemostasis. With the introduction of the LCS, larger vessels can be managed safely. The LCS produces less charring and less thermal tissue injury, reduces postoperative adhesions, and promotes faster healing. The cavitational effect facilitates dissection, and the minimal heat production and absence of current through the patient contribute to safety. Ultrasonic activated technology is easy to use, cost effective, and affords the surgeon a greater margin of safety. This is only a preliminary report, and further study is needed, but the benefits of ultrasonically activated technology and the LCS are readily apparent.
对三名女性进行了腹腔镜辅助阴式子宫切除术（LAVH）中使用腹腔镜超声凝固剪（LCS）的评估。手术适应症包括慢性盆腔疼痛、粘连、子宫内膜异位症、有症状的子宫肌瘤和异常出血。LAVH的整个腹腔镜部分均使用LCS进行。所有三名患者术后过程均顺利，术后一年仍状况良好。谐波手术刀在手术时可同时实现止血。随着LCS的引入，可以安全地处理较大的血管。LCS产生的炭化和热组织损伤更少，减少了术后粘连，并促进更快愈合。空化效应便于解剖，且产生的热量极少且患者体内无电流通过，有助于提高安全性。超声激活技术易于使用，成本效益高，为外科医生提供了更大的安全边际。这只是一份初步报告，还需要进一步研究，但超声激活技术和LCS的益处已显而易见。
