Professional paper

Laparoscopic Abdominal Cysts Fenestration Using Harmonic Scalpel

Zdravko Perko
Nikica Družijanić
Damir Kraljević
Kanito Bilan
Joško Juričić
Željko Mimica
Vladimir Boschi
Leo Grandić
Darko Sršen

Abstract

The use of ultrasonically activated scalpel for tissue cutting and coagulation is a potential replacement for electrosurgery,
which can be related to different complications. Its working principle is to transform the electric power into
the mechanical longitudinal movement of the working part of the instrument, by a piezoelectric transducer situated in
the hand piece. Between October 2000 and June 2004, six patients with abdominal cysts were treated by laparoscopy, using
the harmonic scalpel. The average age was 40.8 (ranging from 15–60) years. Laparoscopic abdominal cyst fenestration
was performed in five patients, and laparoscopic cholecystectomy and abdominal cyst fenestration were done in one
patient during the same operation. The average duration of the operation was 40 (ranging from 25–70) minutes and hospital
stay was 2.8 (ranging from 1–5) days. Laparoscopic abdominal cyst fenestration using the harmonic scalpel is a
safe and successful operation, with good results including all the advantages of the minimally invasive surgery.

Keywords

harmonic scalpel; laparoscopy; abdominal cyst

Hrčak ID:

27477

URI

https://hrcak.srce.hr/27477

Publication date:

16.3.2006.

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