EVALUATION OF ULTRASONICALLY-ACTIVATED SHEARS FOR PATIENTS OF RECTAL CANCER RECEIVING LOW ANTERIOR RESECTION

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  • 超音波凝固切開装置の直腸癌低位前方切除術における出血量, 手術時間におよぼす効果について
  • チョウオンパ ギョウコ セッカイ ソウチ ノ チョクチョウガン テイイ ゼンポウ セツジョジュツ ニ オケル シュッケツリョウ シュジュツ ジカン ニ オヨボス コウカ ニ ツイテ

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Recently ultrasonically-activated shears (USAS) have been used in not only laparotomic surgery but also laparoscopic surgery. USAS has greatly improved coagulation ability and cutting time. In addition, the improvement of the braid has been beneficial for surgery. We report the clinical use of USAS in laparotomic surgery for low anterior resection of rectal cancer compared with similar surgery with a hemostatic clip. Blood loss during surgery was significantly less with USAS. Significant differences of operating time, duration of drainage, post operative hospitalization, and mobility were recognized. Using USAS for low anterior resection might contribute to a decrease in the amount of operative blood loss and promote safety in these typer of operation.

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