Improved ultrasonic aspiration system for safer laparoscopic cholecystectomy

Ikeda, T; Yukitoshi, Sanada; Hirose, Tadatsugu; Tamura, Toshinori; Iwanami, Masahide; Kumada, Kaoru; Fujita, Rikiya

doi:10.1007/bf02350926

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…We forceps, electrocautery, and an ultrasonic aspiration system (UAS; Sumisonic ME 2400; and a Sumisonic hand piece, F-28; Sumitomo Bakelite, Tokyo, Japan). 6 The assistant manipulated the laparoscope and grasping forceps inserted through the right subcostal port. compared our experience with this three-port technique with findings for the conventional four-port technique performed during the same period.…”

Section: Discussionmentioning

confidence: 99%

“…3). The surgeon used the epigastric port to dissect and identify the cystic duct and artery using various forceps, electrocautery, and an ultrasonic aspiration system (UAS; Sumisonic ME 2400; and a Sumisonic hand piece, F‐28; Sumitomo Bakelite, Tokyo, Japan) 6. The assistant manipulated the laparoscope and grasping forceps inserted through the right subcostal port.…”

Section: Methodsmentioning

confidence: 99%

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Experience with three-port laparoscopic cholecystectomy

Tagaya

Kita

Takagi

et al. 1998

Journal of Hepato-Biliary-Pancreatic Surgery

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After considerable experience with laparoscopic cholecystectomy (LC) using four ports, we began using three-port LC in October 1993 and have performed 130 LCs with this procedure up to May 1996. The procedure was successful in 119 patients. In 6 patients fourth port was used, and in another 5, the procedure was converted to open laparo-tomy. Cooperative manipulation of the surgical instruments between the operator and assistant is very important for this procedure, for exposing Calot's triangle and dissecting the gallbladder from the gallbladder bed. The use of an ultrasonic aspiration system (Sumisonic ME 2400; Sumitomo Bakelite, Tokyo, Japan) made it easier to identify the cystic duct and artery, especially in patients with chronic inflammation or dense adhesions. We encountered no problems with cannulation into the cystic duct for intraoperative cholangiography, and there were no intra- and postoperative complications in this series. We achieved good results, similar to those achieved with the four-port technique. This technique is technically feasible and safe, and it has esthetic and cost advantages compared with the four-port technique. However, the operator who performs three-port LC should not hesitate to add another port, or to convert to open laparotomy, whenever any difficulties occur during this procedure, to prevent critical complications.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%