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首页> 外文期刊>Khyber Medical University Journal >EARLY EXPERIENCE WITH ULTRASONIC (HARMONIC) DISSECTION DURING LAPAROSCOPIC CHOLECYSTECTOMY: IS IT SAFE AND ACHIEVABLE?
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EARLY EXPERIENCE WITH ULTRASONIC (HARMONIC) DISSECTION DURING LAPAROSCOPIC CHOLECYSTECTOMY: IS IT SAFE AND ACHIEVABLE?

机译：在腹腔镜胆囊切除术中进行超声（谐波）解剖的早期经验：安全并且可以实现吗？

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Objective: to evaluate the safety of ultrasonic (harmonic) dissection during laparoscopic cholecystectomy in terms of gall bladder perforation.Methodology: This descriptive study was conducted at surgical B unit of Lady Reading Hospital Peshawar from July 2007 to December 2008, on 120 patients with symptomatic gallstones. Patients fulfilling the study criteria, were selected on consecutive non-probability sampling technique. All the patients were operated laproscopicaly through standard four-port technique. Ultrasonic device (harmonic) was used for GB dissection off its bed. Intraoperatively bile leak or stone spillage was looked for suggesting GB perforation.? The demographic and clinical (intraoperative) data of the all the patients were recorded in a proforma and data was analyzed with SPSS version-16.Results: ?The age of the patients ranged from 18 to 70 years with the maximum number in the 4th decade. The mean age was 40.15±12.632 years. The male to female ratio was 1: 6.66. The mean hospital stay was 3.37±0.766 days. ?Patients with gall bladder perforation were 20 (16.7%) and 16.6% of the gall bladder perforation occurred in 21 to 50 years of age. The gall bladder perforation in male and female were 8.3% and 8.3% respectively.Conclusion: Ultrasonic dissection of gall bladder from its bed is a safe technique and carried 16.7% risk of all bladder perforation. In resources limited countries, proper training of laparoscopic surgery should be encouraged.
机译：目的：从胆囊穿孔的角度评价腹腔镜胆囊切除术中超声（谐波）解剖的安全性。胆结石。通过连续的非概率抽样技术选择符合研究标准的患者。所有患者均通过标准的四口腹腔镜手术。超声设备（谐波）用于床下的GB解剖。术中发现胆汁漏出或结石溢出，提示存在GB穿孔。所有患者的人口统计学和临床​​（术中）数据均记录在形式表中，并使用SPSS版本16进行分析。结果：患者年龄在18至70岁之间，在第4个十年中最高。平均年龄为40.15±12.632岁。男女比例为1：6.66。平均住院时间为3.37±0.766天。胆囊穿孔的患者为20（16.7％），胆囊穿孔的患者为21％至50岁。男性和女性的胆囊穿孔分别为8.3％和8.3％。结论：超声检查胆囊从床中剥离是一种安全的技术，所有胆囊穿孔的风险为16.7％。在资源有限的国家，应鼓励对腹腔镜手术进行适当的培训。

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