Application of Ultracision Harmonic Scalpel in Open Colorectal Cancer Operation_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Zhenning , XING Chengzhong , LU Chong , XU Huimian

Department of Surgical Oncology and General Surgery, The First Hospital of China Medical University, Shenyang 110001, ChinaCorresponding Author: XU Hui-mian, E-mail: xuhuimian@126.com;

Corresponding author：

Keywords：

Ultracision harmonic scalpel; Minimal incision; Open operation; Colorectal cancer

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Objective 　To discuss the differences of the effects on open colorectal cancer operation between using ultracision harmonic scalpel (UHS) and monopolar electrosurgery.
Methods 　Fifty-nine patients from April to December in 2007, suffering colorectal cancer in the same treatment group, underwent open radical operation, 29 by GEN300 UHS (UHS group) and 30 by monopolar electrosurgery as control group. There was no significant difference between two groups among the factors of age, gender, tumor location, Dukes staging, gross morphology and degree of histological differentiation (P gt;0.05).
Results 　Shorter incision was applied in UHS group than in the control group. The mean operation time of UHS group and control group were 126 and 119 min, respectively (P gt;0.05). The mean operative blood loss was 50 (20-140) ml in UHS group and 90 (40-200) ml in control group (P gt;0.05). There were no significant differences among factors of bowel function recovery, mean hospitalization and incidence of complications between two groups (P gt;0.05). The mean time for postoperative drainage fluid changing from bloody to serous was 8 (2-20) h in UHS group, however, 48 (16-80) h in control group (P lt;0.05).
Conclusion 　In open colorectal cancer operation, benefits of using UHS are shorter incision and minimally invasiveness.

Citation： WANG Zhenning,XING Chengzhong,LU Chong,XU Huimian. Application of Ultracision Harmonic Scalpel in Open Colorectal Cancer Operation. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2008, 15(10): 714-717. doi: Copy

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17.	刘天威, 张根福, 龚建平. 超声刀在胃肠外科手术中的应用（附49例报告） [Ｊ]. 结直肠肛门外科杂志， 2006； 12（1）∶33.
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19.	程中，周总光，李立，等. 超声止血刀在腹腔镜全直肠系膜切除低位/超低位/结肛吻合术中的作用 [Ｊ]. 中国普外基础与临床杂志， 2002； 9（1）∶31.
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1. 　王存川，陈鋆，徐以浩，等. 超声刀在腹部外科腹腔镜手术中的应用 [Ｊ]. 中国现代手术学杂志， 2000； 4（2）∶83.
2. 　Saye WB, Miller W, Hertzmann P. Electrosurgical thermal injury: Myth or misconception? [Ｊ]. Surg Laparosc Endosc， 1991； 1(4)∶223.
3. 　Amaral JF. Ultrasonic dissection [Ｊ]. Endosc Surg Allied Te-chnol， 1994； 2(3-4)∶181.
4. 　Amaral JF. The experimental development of an ultrasonically activated scalpel for laparoscopic use [Ｊ]. Surg Laparosc Endosc， 1996； 4（2）∶92.
5. 　Amaral JF, Chrostek C. Depth of thermal injury: Ultrasonically activated scalpel vs electrosurgery [Ｊ]. Surg Endosc， 1995； 9(2)∶226.
6. 　Emam TA, Cuschieri A. How safe is high-power Ultracision dissection? [Ｊ]. Ann Surg， 2003； 237(2)∶186.
7. 　Perko Z, Prgorelic Z, Bilan K, et al. Lateral thermal damage to rat abdominal wall after harmonic scalpel application [Ｊ]. Surg Endosc， 2006； 20(2)∶322.
8. 　Tucker RD, Voyles CR. Laparoscopic electrosurgical complications and their prevention [Ｊ]. AORN J， 1995； 62(1)∶51.
9. 　Tulikangas PK, Smith T, Falcone T, et al. Gross and histologic characteristics of laparoscopic injuries with four different energy sources [Ｊ]. Fertil Steril， 2001； 75(4)∶806.
10. 　Tucker RD. Laparoscopic electrosurgical injuries: survey results and their implications [Ｊ]. Surg Laparosc Endosc， 1995； 5(4)∶311.
11. 　李立. 结直肠癌外科应用技术的规范与创新（二） [Ｊ]. 中国普外基础与临床杂志， 2006； 13（2）∶222.
12. 　李传行, 徐以浩, 陈鋆, 等. 超声刀与电刀在腹腔镜外科手术中的应用 [Ｊ]. 暨南大学学报（自然科学与医学版）， 2000； 21（6）∶50.
13. 　李全福，马会敏. 心脏起搏器植入患者腹腔镜手术超声刀临床应用的研究 [Ｊ]. 腹腔镜外科杂志， 2003； 8（2）∶111.
14. 　严想元. 超声刀在安置心脏起搏器患者行腹腔镜胆囊切除术中的应用 [Ｊ]. 西部医学， 2007； 19（1）∶123.
15. 　梁秋金. 超声刀在腹部外科腹腔镜手术中的应用与配合 [Ｊ]. 实用医学杂志， 2006； 22（16）∶1951.
16. 　王东亚, 付晓, 刘涛. 超声刀在普外科腹腔镜手术中的应用体会 [Ｊ]. 实用医学杂志， 2003； 19（10）∶1146.
17. 　刘天威, 张根福, 龚建平. 超声刀在胃肠外科手术中的应用（附49例报告） [Ｊ]. 结直肠肛门外科杂志， 2006； 12（1）∶33.
18. 　杨枫，张抒，于澜，等. 腹腔镜超声刀联合应用下直肠癌全直肠系膜切除术 [Ｊ]. 中国普外基础与临床杂志， 2001； 8（3）∶154.
19. 　程中，周总光，李立，等. 超声止血刀在腹腔镜全直肠系膜切除低位/超低位/结肛吻合术中的作用 [Ｊ]. 中国普外基础与临床杂志， 2002； 9（1）∶31.
20. 　郑民华. 我国腹腔镜结直肠手术的现状与评价 [Ｊ]. 中国微创外科杂志, 2003; 3（1）∶4.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of Ultracision Harmonic Scalpel in Open Colorectal Cancer Operation

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