title: Significance of surgical plume obstruction during laparoscopy.
abstract: With the advent of laparoscopic surgery, the need of optimal visualization and efficient instrumentation has created a need for better understanding of the characteristics of the surgical plume. Despite the technological advances of digital imaging and dissector technology (ultrasonic, radiofrequency electrical, and bipolar), the inconvenient and sometimes harmful generation of a surgical plume decreases visualization, often requiring the surgeon to remove the scope from the surgical field and remove the obstructing particles. If visualization is suboptimal or lost during bleeding, the outcome can be deadly. Therefore, we reviewed the available reports in the literature focused on the quantification of surgical plumes.
authors.affiliation: Urology Division, Denver Health Medical Center/University of Colorado, Colorado, Denver, USA.
authors.forename: Rodrigo Donalisio
authors.initials: RD
authors.lastname: da Silva
authors.affiliation: Urology Division, Denver Health Medical Center/University of Colorado, Colorado, Denver, USA.
authors.forename: David
authors.initials: D
authors.lastname: Sehrt
authors.affiliation: Urology Division, Denver Health Medical Center/University of Colorado, Colorado, Denver, USA.
authors.forename: Wilson R
authors.initials: WR
authors.lastname: Molina
authors.affiliation: Urology Division, Denver Health Medical Center/University of Colorado, Colorado, Denver, USA.
authors.forename: Jake
authors.initials: J
authors.lastname: Moss
authors.affiliation: Department of Urology, Haeundae Paik Hospital, College of Medicine, Inje University, Gimhae, South Korea.
authors.forename: Sang Hyun
authors.initials: SH
authors.lastname: Park
authors.affiliation: University of Colorado Cancer Center, University of Colorado, Colorado, Denver, USA.
authors.forename: Fernando J
authors.initials: FJ
authors.lastname: Kim
mesh_terms: D004868:Equipment Failure; D019544:Equipment Failure Analysis; D006801:Humans; D007432:Intraoperative Period; D010535:Laparoscopy / Q000295:instrumentation*; D008422:Materials Testing; D012371:Robotics / Q000295:instrumentation*
keywords: Laparoscopy; Robotic-assisted procedures; Surgical plume