JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 1 (January 2019)
Japanese

Laparoscopic radical hysterectomy using a Cavitron Ultrasonic Surgical Aspirator Noboru AKIYAMA 1 , Hirohiko TANAKA 1 , Masako NAKANO 1 , Shoichi MAGAWA 2 , Eiji KONDO 2 1Department of Obstetrics and Gynecology, Mie Prefectural General Medical Center 2Department of Obstetrics and Gynecology, Mie University Hospital Keyword: CUSA , 超音波吸引装置 , 腹腔鏡下広汎子宮全摘術 pp.10-16
Published Date 2019/1/15
DOI https://doi.org/10.11477/mf.4426200659
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 Although the Cavitron ultrasonic surgical aspirator (CUSA) is widely used for open gynecological surgery, we have found only one study reporting its use in laparoscopic surgery. Recently, a CUSA has been developed for laparoscopic surgery, which has a diameter of 5mm and is easy to use compared to other CUSAs. In this study, we performed total laparoscopic radical hysterectomy on 26 patients with cervical cancer. The patients were classified into two groups: CUSA group (n = 13) and non-CUSA group (n = 13). We observed a significant decrease in the amount of bleeding (p = 0.010) and surgical duration (p = 0.001) in the CUSA group compared to the non-CUSA group. In addition, no new adverse events occurred in the CUSA group. We plan to collect data on more cases and prospectively investigate the utility of CUSA for total laparoscopic gynecological surgery.


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基本情報

13446703.24.1.jpg
日本内視鏡外科学会雑誌
24巻1号 (2019年1月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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