Summary
A specifically designed handpiece has been developed for ultrasonic dissection of tissues and organs during minimal-access surgery. The experimental prototype has been evaluated in major endoscopic operations on the esophagus, colon, and rectum (n=19). The benefits documented by this initial experience include increased dissection efficiency of extensive fibroareolar attachments, safe exposure of major vascular pedicles (especially those located in mesocolic fat), greatly reduced risk of major hemorrhage, and decreased operating time.
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References
de Jong KP, Terpstra OT, Blankensteijn JD, Lameris JS (1989) Intraoperative ultrasonography and ultrasonic dissection in liver surgery. Am J Gastroenterol 84: 933–936
Fiddian-Green RG, Siviski PR, Karol SV (1988) Median hepatotomy using ultrasonic dissection for complex hepatobiliary problems. Arch Surg 123: 901–907
Hardy KJ, Martin J, Fletcher DR, MacLellan DG, Jones RM (1989) Hepatic resection: value of operative ultrasound and ultrasonic dissection. Aust New Zeal J Surg 59: 621–623
Proye C (1991) Surgery of insulinoma. Acta Chir Belg 91: 82–87
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Cuschieri, A., Shimi, S., Banting, S. et al. Endoscopic ultrasonic dissection for thoracoscopic and laparoscopic surgery. Surg Endosc 7, 197–199 (1993). https://doi.org/10.1007/BF00594108
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DOI: https://doi.org/10.1007/BF00594108