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目的:THUNDERBEAT(TB)作为一种能够同时输出双极高频电能量和超声波能量的新型手术器械在我国推广应用以来,凭借其独特的优势等到了广大外科医生的青睐。本文通过分析TB在腹腔镜下前列腺癌根治术中的应用,评价其临床实用性。方法:回顾性分析2016年1月~2017年5月我院33例腹腔镜下前列腺癌根治术(laparoscopic radical prostatectomy,LRP)患者的临床资料,依据是否应用TB将患者分为TB组和非TB组。分别比较两组手术时间、术中出血量、切缘阳性率、淋巴结清扫数目、术后并发症、留置尿管时间、留置引流管时间、术后住院时间方面的差异。结果:在行LRP患者中前列腺切除时间TB组明显短于非TB组[(35.64±8.26)min vs.(48.77±3.56)min,P=0.000];术后引流管拔除时间TB组明显短于非TB组[(4.63±1.50)d vs.(6.43±2.50)d,P=0.044];尿管拔除时间TB组明显短于非TB组[(6.46±1.33)d vs.(8.93±4.29)d,P=0.049];淋巴结清扫数目TB组多于非TB组[(11.65±4.23)vs.(7.69±3.79),P=0.013];其余方面差异无统计学意义。结论:TB在LRP中展现出了良好的组织抓取、分离、凝血和血管的闭合功能,充分证明了TB是安全、可行的,且在一定程度上具有缩短手术时间,改善患者术后恢复的优势。
OBJECTIVE: THUNDERBEAT (TB), as a kind of new surgical instrument capable of simultaneously outputting bipolar high-frequency electric energy and ultrasonic energy, has been widely used by surgeons for its unique advantages since its popularization and application in China. This article by analyzing the application of TB in laparoscopic radical prostatectomy, evaluate its clinical utility. Methods: The clinical data of 33 patients with laparoscopic radical prostatectomy (LRP) from January 2016 to May 2017 in our hospital were retrospectively analyzed. The patients were divided into TB group and non-TB group group. The differences of operation time, intraoperative blood loss, positive margins of cut, number of lymph node dissection, postoperative complications, indwelling catheter time, indwelling drainage tube and postoperative hospital stay were compared. Results: In the LRP group, the time of prostatectomy in TB group was significantly shorter than that in non-TB group [(35.64 ± 8.26) min vs. (48.77 ± 3.56) min, P = 0.000] TB group [(4.63 ± 1.50) d vs. (6.43 ± 2.50) d, P = 0.044]. The duration of catheter ablation in TB group was significantly shorter than that in non-TB group [(6.46 ± 1.33) d vs. (8.93 ± 4.29) d, P = 0.049]. The number of lymph node dissection in TB group was more than that in non-TB group [(11.65 ± 4.23) vs. (7.69 ± 3.79), P = 0.013]. There was no significant difference in other aspects. Conclusion: TB showed good tissue grasping, separation, coagulation and blood vessel closure in LRP, which fully proved that TB is safe and feasible, and to a certain extent, it can shorten the operation time and improve the postoperative recovery Advantage.