Efficiency and Reliability of Using the Harmonic™ Scalpel Power Supply in Simple Cyst Decortication: A State Hospital Experience

Öz

Aim: In literarture, monopolar cutting forceps,
plasmacinetic cutting forceps and argon laser
were routinely using for laporoscopic renal
simple cyst decortication. Our study aim was
to determine the efficacy and safety of the use
of Harmonic scalpel energy source in simple
renal cyst laparoscopic decortication.
Material and methods: In our clinic, 7
patients underwent operated laparoscopic renal
cyst excision with transperitoneal approach
between January 2006 and February 2010.
Pneumoperitoneum was created by entering
the peritoneum. After opening line Todd and
Gerota cyst has been reached. Cyst wall was
decorticated using by Harmonic ™ scalpel.
After placement of silicone drain operation
was terminated.
Results: The mean age of patients was 59 (22-
83), 5 patients were male and 2 were female.
Cysts were located 4 in the right, 3 in the left
kidney. Average cyst diameter was 96.1 mm
(83-110). The mean operation time was 96 ±
8.7 minutes. The mean drain time was 1,8±1,2
days. Average hospital stay time was 2.5 ± 1.7
days. Mean follow-up time was 13.4 (9-19)
months. Symptomatic recurrence was observed
in any patient. In one of the patients had
radiological recurrence.
Conclusion: Harmonic scalpel ™ is an
effective and safe device of laparoscopic renal
cyst decortication that can be used.

Anahtar Kelimeler

• Renal cyst
• laparoscopy
• ultrasonic source

BASİT BÖBREK KİSTİ LAPAROSKOPİK DEKORTİKASYONUNDA HARMONİC™ SKALPEL ENERJİ KAYNAĞI KULLANIMININ ETKİNLİĞİ VE GÜVENİLİRLİĞİ: DEVLET HASTANESİ TECRÜBESİ

Öz

Amaç: Basit böbrek kisti dekortikasyonunda
monopolar kesici, plasmakinetik kesici ve
argon lazer uygulamaları literatürde yer
almaktadır. Bu çalışmamızda amacımız basit
böbrek kistinin laparoskopik
dekortikasyonunda Harmonic™ Scalpel enerji
kaynağının kullanımının etkinlik ve
güvenilirliğinin belirlenmesidir.

Gereç ve yöntem: Kliniğimizde Mart 2010 ve
Ocak 2011 yılları arasında toplam 7 hastaya
böbrek kisti nedeniyle transperitoneal
laparoskopik kist dekortikasyonu
uygulanmıştır. Peritona girilerek
pnömoperitoneum oluşturuldu. Todd çizgisi ve
gerato açıldıktan sonra kiste ulaşıldı. Kist
duvarı Harmonic™ scalpel kullanılarak
dekortike edildi. Operasyon lojuna silikon dren
konularak operasyon sonlandırıldı.

Bulgular: Hastaların ortalama yaşları 59 (22-
83) olarak bulundu, 5 hasta erkek 2 hasta kadın
idi. Kistlerin 4 tanesi sağ, 3 tanesi sol böbrek
yerleşimli idi. Kist çapları ortalama 96,1 mm
(83-110) idi. Ortalama operasyon süresi
96±8,7 dakika idi. Tüm hastaların loj drenleri
1,8±1,2 gün kaldı. Ortalama yatış süresi
2,5±1,7 gün olarak bulundu. Ortalama takip
süresi ise 13,4 (9-19)ay olarak bulundu. Hiçbir
hastada semptomatik rekürrens gözlenmedi.
Radyolojik rekürrens ise 1 hastada görüldü.

Sonuç: Harmonic™ scalpel laparoskopik
böbrek kisti dekortikasyonunda güvenle
kullanılabilecek etkin bir yöntemdir.

Anahtar Kelimeler

• Böbrek kisti
• laparoskopi
• ultrasonik enerji

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