naa a22 4500 510764525 CHVBK 20180411083152.0 cr unu---uuuuu 180411e20131101xx s 000 0 eng 10.1007/s12094-013-1026-0 doi (NATIONALLICENCE)springer-10.1007/s12094-013-1026-0 The application of ultrasonic harmonic scalpel in the radical surgery of gastric cancer [Elektronische Daten] [Y. Huang, G. Mu, X. Qin, J. Lin, C. Liu, Z. Chen, Y. Zeng] Purpose: Ultrasonic harmonic scalpel has been widely applied to laparoscopic surgery of gastric cancer, but it has not been evaluated properly in open surgery. The objective of this study was to evaluate the value of the ultrasonic harmonic scalpel in the open radical surgery of gastric cancer. Methods: 106 gastric cancer patients who had accepted distal D2 lymphadenectomy were included in this study. Patients were divided into ultrasonic harmonic scalpel (UHS) surgery group (50 cases) and conventional electric scalpel surgery group (56 cases). UHS surgery group patients were accepted surgery by ultrasonic harmonic scalpel. Instead, conventional electric scalpel surgery group patients were accepted surgery by monopolar electrocautery shovel and other traditional instruments. Then the average operation time, intra-operative blood loss, number of harvested lymph nodes, average post operative drainage within 3days, and postoperative hospital stay were collected and compared between the two groups. Results: The average operation time, blood loss, postoperative hospital stay in UHS group were significantly lower than traditional group (P<0.05). The number of lymph node dissection was significantly higher than conventional surgery group (P<0.05). There were no difference between two groups in average drainage within 3days after surgery and the hospitalization costs (P>0.05). In the presence of atherosclerotic patients, the average operation time, blood loss in UHS surgery group were significantly lower than the traditional group (P<0.05). Conclusion: Ultrasonic harmonic scalpel may have better effect in the radical surgery of gastric cancer patients. It meets the requirements of the future development of precise surgical procedure. Federación de Sociedades Españolas de Oncología (FESEO), 2013 Ultrasonic harmonic scalpel nationallicence Gastric cancer nationallicence D2 lymphadenectomy nationallicence Surgery nationallicence Huang Y. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut Mu G. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut Qin X. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut Lin J. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut Liu C. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut Chen Z. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut Zeng Y. Biomedical Engineering Center, Beijing University of Technology, 100022, Beijing, China aut Clinical and Translational Oncology Springer Milan 15/11(2013-11-01), 932-937 1699-048X 15:11<932 2013 15 12094 https://doi.org/10.1007/s12094-013-1026-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12094-013-1026-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Huang Y. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut NATIONALLICENCE 700 1- Mu G. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut NATIONALLICENCE 700 1- Qin X. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut NATIONALLICENCE 700 1- Lin J. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut NATIONALLICENCE 700 1- Liu C. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut NATIONALLICENCE 700 1- Chen Z. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, China aut NATIONALLICENCE 700 1- Zeng Y. Biomedical Engineering Center, Beijing University of Technology, 100022, Beijing, China aut NATIONALLICENCE 773 0- Clinical and Translational Oncology Springer Milan 15/11(2013-11-01), 932-937 1699-048X 15:11<932 2013 15 12094 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer