[Ultrasound dissection in laparoscopic cholecystectomy].
An ultrasound dissector especially developed for laparoscopic surgery was used during laparoscopic cholecystectomy on 34 patients. The ultrasound power, the volume of suction and irrigation could be determined individually at the generator and activated during the operation with a foot pedal. With the dissector it was possible to fragmentate, emulgate and aspirate simultaneously fat tissue as well as infected edematous structures. The cystic artery and cystic duct, small vessels, lymphatic and connective tissue were not damaged. Therefore this system seems to be excellent for the preparation of Calot's trigonum and blunt dissection of the gallbladder out of its bed, particularly in fatty, acute or chronic infected tissue. No complications were observed within the peri- and postoperative period.
Horstmann
R
R
Marienhospital Herne, Chirurgische Klinik, Ruhr-Universität, Bochum.
Kern
M
M
Joosten
U
U
Hohlbach
G
G
D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D002764:Cholecystitis / Q000473:pathology / Q000601:surgery*; D002769:Cholelithiasis / Q000473:pathology / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D005704:Gallbladder / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013396:Suction / Q000295:instrumentation; D014464:Ultrasonic Therapy / Q000295:instrumentation*
Die Ultraschalldissektion bei der laparoskopischen Cholezystektomie.