The authors have developed an ultrasonic aspirator to assist in urolog
ic endoscopic surgery. It appeared that ultrasonic aspiration of bladd
er tumors was clinically efficient in transurethral surgery. Tumors 1
to 2 cm in diameter could be aspirated completely with this instrument
alone. The application of the ultrasonic aspirator, which has also be
en designed with a coagulating function, to laparoscopic lymphadenecto
my was evaluated. A special probe sheath was used to insulate it when
using coagulation current. During operation, perivascular fatty tissue
was removed safely with the aspirator. In the near future, the ultras
onic aspirator will be one of the most effective tools in laparoscopic
surgery.