[Application of plasma scalpel for cholecystectomy].
Plasma scalpel SUPR-M was used in operative treatment of calculous cholecystitis. Two variants of cholecystectomy with plasma scalpel have been worked out in experiment. It was determined, that the influence of plasma spurt is innocuous for hepatic tissues, it helps to achieve complete demucosation of the mucous membrane of the gall bladder in atypical variants of cholecystectomy, prevents bleeding and bile leakage from the bladder bead in typical cholecytectomy. In clinics the operation procedures were carried out in 176 patients, in 20 of them cholecystectomy was performed atypically, leaving gall bladder wall, adjacent to hepatic surface, in place. In postoperative period were no complications connected with the use of plasma scalpel as well as there were no lethal outcomes. Long-term follow-up of the patients for 5 years showed favourable clinical effect.
Kasum'ian
S A
SA
Department of Faculty Surgery, Medical Academy, Smolensk.
Novikov
I G
IG
Varchuk
O D
OD
Bazhenov
S M
SM
Zaítseva
V V
VV
D000818:Animals; D002763:Cholecystectomy / Q000295:instrumentation*; D002769:Cholelithiasis / Q000473:pathology / Q000601:surgery*; D004285:Dogs; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D053685:Laser Therapy; D011184:Postoperative Period; D015203:Reproducibility of Results; D012189:Retrospective Studies; D016896:Treatment Outcome
Kholetsist'ektomiia s primeneniem plazmennogo skal'pelia.