[Use of ultrasonic surgery in laparoscopic cholecystectomy].

Abstract:

INTRODUCTION:Laparoscopic cholecystectomy now represents a valid alternative to traditional surgery in the treatment of gallstone diseases. For the past twenty years laparotomic cholecystectomy has represented the golden standard of gallstone treatment given its extremely low mortality rate (0.5%) and equally acceptable morbidity rate. Laparoscopic cholecystectomy now appears to have taken over the position of elective treatment. Sophisticated techniques, such as ultrasound scalpels make this form of surgery particularly safe. MATERIALS AND METHODS:The authors report a series of 50 patients who underwent laparoscopic cholecystectomy in which ultrasound surgery was used in 40 cases using the CUSA system. The gallbladder hilus is prepared using ultrasound manipulation following the secure identification, respect and clipping of the cystic artery and duct. DISCUSSION AND CONCLUSIONS:Laparoscopic cholecystectomy appears to be the ideal treatment for gallstone diseases. In the series reported here the use of the ultrasound scalpel allowed the gallbladder hilus to be reach skeletization, preserving the main structures and keeping the operating field clean and blood-free, without increasing operating times. The possibility of severe accidents, such as vascular lesions to the hepatic artery or vena portae, or damage to the common bile duct or other abdominal organs are reduced using this technique.

journal_name

Minerva Chir

journal_title

Minerva chirurgica

authors

Marino BM,Bigliani S,Drago GW,Kiss A,Rossi R,Vitale L

subject

Has Abstract

pub_date

1994-03-01 00:00:00

pages

195-7

issue

3

eissn

0026-4733

issn

1827-1626

journal_volume

49

pub_type

杂志文章
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  • [A rational approach to cholecystectomy in the patient with an abdominal aortic aneurysm].

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    authors: Bajardi G,Ricevuto G,Mastrandrea G,Latteri M,Pischedda G,Rubino G,Valenti D,Florena M

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    更新日期:1997-10-01 00:00:00

  • [Surgical correction of the pectus excavatum and carinatum in the adult. Report of an unusual case of combination of the straight back and pectus excavatum].

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    doi:

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    doi:

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    pub_type: 杂志文章

    doi:

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    更新日期:1995-05-01 00:00:00

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    doi:

    authors: Giordano A,Sanfelici G,Serenthà U,Remonda G,Enrichens F

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    pub_type: 杂志文章,评审

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    authors: Marzano T,Geretto P,Coli P,Orsi G

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  • [Carcinoid tumors of the appendix. Review of the literature and two case reports].

    abstract::Gastrointestinal carcinoids are infrequent but at the same time hardly rare tumours. They are often chance findings but, as is clearly reported in the literature, their potential malignancy should not be overlooked. They are most commonly localised in the appendix. The authors describe two case reports of carcinoid tu...

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    authors: Saviano MS,Beghi M,Ricchi E,Carriero A,Ferrara F

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  • [Acute volvulus of the sigmoid colon].

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    authors: Bertelli L,Lorenzini L,Mancini S,Tani F

    更新日期:1980-08-15 00:00:00

  • [Muscle metastasis of bronchopulmonary carcinoma].

    abstract::Typical sites of bronchogenic carcinoma metastases are liver, brain, bones or adrenal glands. Rarely and in advanced dissemination phase it could involve the skeletal muscle. Two cases of metastases in the skeletal muscle from bronchogenic carcinoma, one of which revealed this neoplasia, are reported. ...

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    doi:

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    abstract::Two cases of pancreatic cystadenocarcinoma, a very rare pathology, are reported. The authors treat the anatomopathological classification and they underline the diagnosis especially with reference to the new methods of cytologic study. Finally they consider the surgical approach that must be radical because of the pot...

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    authors: Gentile G,Pizzolitto S,Binotto F

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  • [A system for the clinico-functional staging of the quality of life of patients with malignant neoplasms of the oro-facial area].

    abstract::The anatomical region identified with the "head and neck region" has got the highest functional concentration of the human body and the highest incidence of malignant tumours per unit of surface. A pathology, that forced to serious and destroying surgical interventions in this area, will carry necessarily out a series...

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    doi:

    authors: Cianfriglia F,Manieri A

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  • [Lung resections for cancer in the elderly].

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    authors: Loizzi M,Sardelli P,Sollitto F,Bolognese R,Lopez C,Pizzigallo MA,Lacitignola A

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    doi:

    authors: Russo A

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    doi:

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    更新日期:2002-08-01 00:00:00

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  • [Biliodigestive fistulae. Apropos 2 cases with opposite symptomatology].

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    doi:

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