Helal M, Albertini J, Lockhart J, Albrink M
Department of Surgery, University of South Florida Health Sciences Center, Tampa, USA.
J Endourol. 1997 Aug;11(4):267-8. doi: 10.1089/end.1997.11.267.
Laparoscopic nephrectomy is gaining popularity. Improved instrumentation is making surgery easier with fewer complications. Our first three laparoscopic nephrectomies using the Harmonic Scalpel were performed on two women and one man. The surgical indications were nonfunctioning kidneys (two left, one right) with hypertension in one patient and stone disease in two. The three patients had a mean age of 46.3 years. The average hospital stay was 4 days, the average operative time 3.7 hours, and the average blood loss 160 mL. No complications occurred. Patients resumed oral intake within 8 hours postoperatively. We found the Harmonic Scalpel easy and safe to use. It saved time, was cost effective, and was capable of easily controlling small-vessel bleeding. In conclusion, the Harmonic Scalpel could be used effectively for both dissection and bleeding control without suction or other instrumentation.
腹腔镜肾切除术越来越受欢迎。改进后的器械使手术更容易，并发症更少。我们最初使用超声刀进行的三例腹腔镜肾切除术分别施于两名女性和一名男性患者。手术指征为无功能肾（两例左侧，一例右侧），其中一名患者伴有高血压，两例伴有结石病。这三名患者的平均年龄为46.3岁。平均住院时间为4天，平均手术时间为3.7小时，平均失血量为160毫升。未发生并发症。患者术后8小时内恢复经口进食。我们发现超声刀使用简便且安全。它节省时间，性价比高，能够轻松控制小血管出血。总之，超声刀可有效地用于解剖和出血控制，无需吸引器或其他器械。
