Canine choledochotomy closure with diode laser-activated fibrinogen solder.
BACKGROUND
An alternative to mechanical stapling or hand suturing is needed to permit laparoscopic common bile duct exploration. We evaluated the strength and healing characteristics of canine choledochotomies sealed with a fibrinogen solder and a diode laser.


METHODS
After creation of a 0.5 cm longitudinal choledochotomy, the edges were coapted with forceps, and a fibrinogen solder mixed with indocyanine green dye was applied. The solder was sealed in place with an 810 nm diode laser (125 W/cm2).


RESULTS
Immediate mean leakage pressure was 264 +/- 7 mm Hg compared with 83 +/- 66 mm Hg in suture controls. This increased to 364 +/- 115 mm Hg at 2 days and was more than 510 mm Hg at 7 days. On histologic examination rapid reabsorption of the solder with no signs of inflammation or stenosis was seen. No episodes of dehiscence or peritonitis occurred.


CONCLUSIONS
Laser soldering provides a watertight choledochotomy closure with adequate immediate strength allowing a reliable, technically feasible common bile duct exploration via a laparoscopic approach.
Bass
L S
LS
Department of Surgery, Columbia University College of Physicians and Surgeons, New York, NY 10032.
Libutti
S K
SK
Oz
M C
MC
Rosen
J
J
Williams
M R
MR
Nowygrod
R
R
Treat
M R
MR
D000818:Animals; D003135:Common Bile Duct / Q000601:surgery*; D004285:Dogs; D015718:Fibrin Tissue Adhesive; D007208:Indocyanine Green / Q000627:therapeutic use; D010535:Laparoscopy / Q000379:methods*; D017075:Laser Coagulation; D013536:Suture Techniques
D015718:Fibrin Tissue Adhesive; D007208:Indocyanine Green