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Clinical application of the Nd:YAG laser bipolar dissector in intra‐abdominal surgery
Author(s) -
Nishiwaki Yoshiro,
Daikuzono Norio,
Joffe Stephen N.
Publication year - 1992
Publication title -
lasers in surgery and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 112
eISSN - 1096-9101
pISSN - 0196-8092
DOI - 10.1002/lsm.1900120613
Subject(s) - dissection (medical) , medicine , blood loss , hepatectomy , surgery , laser , cholecystectomy , abdominal surgery , resection , physics , optics
A laser bipolar dissector (LBD) using a 1064 nm Nd:YAG laser energy source that provides hemostatic dissection using lowpowered 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. © 1992 Wiley‐Liss, Inc.