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Ultrasonic dissection

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Abstract

Following its development for cataract surgery, and gaining widespread use in neurosurgery and liver resection, ultrasonic dissection has been adapted for laparoscopic use. The turbulence, heat, and pressure generated by imploding bubbles disrupts tissues high in water content. This phenomenon is called cavitation and is the principal means by which ultrasonic dissection is accomplished.

A randomized, prospective trial demonstrated the utility of the device for laparoscopic cholecystectomy. It was particularly effective in the presence of acute periportal inflammation or fat. Additional experience with a wide range of laparoscopic procedures is being accumulated by several investigators around the world.

The laparoscopic use of ultrasonic dissection will be most valuable whenever selective, precise, and, therefore, safe dissection is desired.

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References

  1. Chopp R, Shah B, Addonizio J (1983) Use of ultrasonic surgical aspirator in renal surgery. Urology 22: 157–159

    Google Scholar 

  2. Cushieri A, Shimi S, Banting S, Vander Velpen G (1993) Endoscopic ultrasonic dissection for thoroscopic and laparoscopic surgery. Surg Endosc 7: 197–199

    Google Scholar 

  3. Fiddian-Green RG, Siviski PR, Karol SV (1988) Median hepatotomy using ultrasonic dissection for complex hepatobiliary problems. Arch Surg 123: 901–907

    Google Scholar 

  4. Flamm E, Ransohoff J, Wuchinich D, Broadwin A (1978) Preliminary experience with ultrasonic aspiration in neurosurgery. Neurosurgery 2: 240–245

    Google Scholar 

  5. Hashizumi M, Sugimachi K, Ueno K (1992) Laparoscopic splenectomy with an ultrasonic dissector. (Letter) N Engl J Med 438

  6. Hodgson W, Poddar P, Mencer E (1979) Evaluation of ultrasonically powered instruments in the laboratory and in the clinical setting. Am J Gastroenterol 72: 133–140

    Google Scholar 

  7. Hodgson WJ (1980) Ultrasonic surgery. Ann R Coll Surg Engl 62: 459–461

    Google Scholar 

  8. Hodgson WJ, Del Guercio LR (1984) Preliminary experience in liver surgery using the ultrasonic scalpel. Surgery 95: 230–234

    Google Scholar 

  9. Hunter J (1991) Laser or electrocautery for laparoscopic cholecystectomy. Am J Surg 161: 345–349

    Google Scholar 

  10. Hunter J (1991) Avoidance of bile duct injury during laparoscopic cholecystectomy. Am J Surg 162: 72–76

    Google Scholar 

  11. Kelman C (1969) Phaco-emulsification and aspiration. Am J Ophthalmol 67: 464–477

    Google Scholar 

  12. Moosa A, Easter D, VanSonnenberg E, Casola G, D'Agostino H (1992) Laparoscopic injuries to the bile duct. Ann Surg 215: 196–202

    Google Scholar 

  13. Ottow RT, Barbieri SA, Sugarbaker PH, Wesley RA (1985) Liver transection: a controlled study of four different techniques in pigs. Surgery 97: 596–601

    Google Scholar 

  14. Payne, Personal experience

  15. Putnam CW (1983) Techniques of ultrasonic dissection in the resection of the liver. Surg Gynecol Obstet 157: 474–478

    Google Scholar 

  16. Rader JS, Leake JF, Dillon MB, Rosenshein NB (1991) Ultrasonic surgical aspiration in the treatment of vulvar disease. Obstet Gynecol 77: 573–576

    Google Scholar 

  17. Rose PG (1992) The cavitational ultrasonic surgical aspirator for cytoreduction in advanced ovarian cancer. Am J Obstet Gynecol 166: 843–846

    Google Scholar 

  18. Rossi R, Schirmer W, Braasch J, Sanders L, Munson J (1992) Laparoscopic bile duct injuries: risk factors, recognition, and repair. Arch Surg 127: 596–602

    Google Scholar 

  19. Schussler, 1992 Personal communication

  20. Storck BH, Rutgers EJ, Gortzak E, Zoetmulder FA (1991) The impact of the CUSA ultrasonic dissection device on major liver resections. Neth J Surg 43: 99–101

    Google Scholar 

  21. Suslick KS (1989) The chemical effects of ultrasound. Sci Amer 2: 62–68

    Google Scholar 

  22. Verazin GT, Regal A, Antkowiak JG, Aarvez Z, Takita H (1991) Ultrasonic surgical aspirator for lung resection. Soc Thorac Surg 52: 787–790

    Google Scholar 

  23. Voyles R, Tucker R (1992) Education and engineering solutions for potential problems with laparoscopic monpolar electrosurgery. Am J Surg 164: 57–62

    Google Scholar 

  24. Wetter A, Payne J, Kirschenbaum G, Podoll E, Way L (1992) The CUSA ultrasonic surgical aspirator facilitates laparoscopic cholecystectomy. Arch Surg 127: 1195–1199

    Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Hawai'i Permanente Medical Group and the University of Hawai'i, 3288 Moanalua Road, 96819, Honolulu, HI, USA

    J. H. Payne Jr.

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  1. J. H. Payne Jr.
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Payne, J.H. Ultrasonic dissection. Surg Endosc 8, 416–418 (1994). https://doi.org/10.1007/BF00642445

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  • DOI: https://doi.org/10.1007/BF00642445

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