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Clinical application of the Nd:YAG laser bipolar dissector in intra-abdominal surgery

✍ Scribed by Yoshiro Nishiwaki; Norio Daikuzono; Stephen N. Joffe


Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
545 KB
Volume
12
Category
Article
ISSN
0196-8092

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✦ Synopsis


Abstract

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. Β© 1992 Wiley‐Liss, Inc.


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