内視鏡下鼻科手術における鉗子型バイポーラ凝固止血装置, 鼻用クリップ鉗子の使用経験

抄録

In this paper, efficacy of forceps type bipolar coagulator and vessel clip forceps in the endoscopic nasal surgery was compared with the conventional bipolar coagulator and disposable vessel clip. The forceps type bipolar coagulator was very useful for coagulating a small area, especially cranial base and lateral side of paranasal sinuses, and could keep the clear endoscopic view with aspiration of bleeding and the mist due to coagulation itself. However, the conventional bipolar coagulator was more effective in case of massive coagulation and bleeding from middle portion in nasal cavity than the forceps type bipolar coagulator. The vessel clip forceps was easy to use in the nasal cavity and could sufficiently clip the sphenopalatine artery. Moreover, the cost for clip is also cheaper than the disposable vessel clip.