title: Laparoscopic pneumodissection: initial clinical experience.
abstract: OBJECTIVE
  We evaluated the efficacy of a new laparoscopic dissecting instrument that fires intermittent bursts of high-pressure carbon dioxide to separate tissue along natural planes.
  
  
  METHODS
  The pneumodissector (PD) was used in 2 patients undergoing laparoscopic procedures. Serum creatinine and bicarbonate were measured before and after the procedure, and arterial blood gases were measured before, during, and after use of the PD. Subjective assessment of the ease of dissection with the PD by the first assistant was recorded.
  
  
  RESULTS
  Acidosis and hypercarbia were not observed with use of the PD. The PD facilitated dissection along the iliac vessels, around the kidney, and in the renal hilum.
  
  
  CONCLUSIONS
  The PD is a feasible method for rapid, blunt dissection during laparoscopic procedures.
authors.affiliation: Department of Surgery (Division of Urology), Washington University School of Medicine, St. Louis, Missouri, USA.
authors.forename: M S
authors.initials: MS
authors.lastname: Pearle
authors.forename: S Y
authors.initials: SY
authors.lastname: Nakada
authors.forename: E M
authors.initials: EM
authors.lastname: McDougall
authors.forename: T G
authors.initials: TG
authors.lastname: Monk
authors.forename: R V
authors.initials: RV
authors.lastname: Clayman
authors.forename: E
authors.initials: E
authors.lastname: Pingleton
authors.forename: F D
authors.initials: FD
authors.lastname: Roemer
mesh_terms: D000293:Adolescent; D001784:Blood Gas Analysis; D004210:Dissection / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D005260:Female; D006801:Humans; D007327:Insufflation / Q000295:instrumentation* / Q000379:methods; D007674:Kidney Diseases / Q000097:blood / Q000209:etiology / Q000601:surgery*; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods; D008197:Lymph Node Excision / Q000295:instrumentation* / Q000379:methods; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000295:instrumentation* / Q000379:methods; D011471:Prostatic Neoplasms / Q000097:blood / Q000473:pathology / Q000601:surgery*; D014513:Ureter / Q000601:surgery