Clinical application of the Nd:YAG laser bipolar dissector in intra-abdominal surgery.
A laser bipolar dissector (LBD) using a 1064 nm Nd:YAG laser energy source that provides hemostatic dissection using low-powered laser energy (15-25 W) has been developed. Clinical applications have included a partial hepatectomy (n = 5), a cholecystectomy (n = 4), an appendectomy, lymphnode dissection, and division of adhesions. The LBD was effective in resection of noncirrhotic liver and reduced the number of ligations required. There were no direct complications related to using the LBD. Operative time and blood loss were difficult to compare to conventional methods. The LBD may have applications for partial hepatectomies and other intra-abdominal operations.
Nishiwaki
Y
Y
Department of Surgery, Numazu Medical Association Hospital, Japan.
Daikuzono
N
N
Joffe
S N
SN
D000038:Abscess; D001062:Appendectomy; D006528:Carcinoma, Hepatocellular / Q000601:surgery; D002763:Cholecystectomy; D003110:Colonic Neoplasms / Q000473:pathology; D004210:Dissection; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects / Q000295:instrumentation*; D008099:Liver / Q000473:pathology; D008100:Liver Abscess / Q000209:etiology; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013530:Surgical Wound Infection / Q000209:etiology