## Abstract Twentyβeight partial nephrectomies were performed on nine pigs with a simultaneous, coaxial CO~2~βNd:YAG laser at power settings of 20 W and 40 W, or with a steel scalpel. A vascular pedicle clamp was used without renal cooling. The time for hemostasis was 4.5 Β± 3.2 min (mean Β± SD) with
Experimental study of partial liver resection with a combined CO2 and Nd:YAG laser
β Scribed by Priv. Doz. Dr. med. H.-J. Meyer; K. Haverkampf
- Publisher
- John Wiley and Sons
- Year
- 1982
- Tongue
- English
- Weight
- 422 KB
- Volume
- 2
- Category
- Article
- ISSN
- 0196-8092
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β¦ Synopsis
Abstract
The use of the CO~2~ laser in liver surgery is mainly limited by the lack of coagulation of the larger vessels. In an experimental study, partial liver resections were performed on pigs with a Nd:YAG as well as with a combined CO~2~ and Nd: YAG laser. The best cutting efficiency was obtained with the CO~2~ laser. On the other hand, the Nd:YAG laser and the combined laser sources showed excellent hemostasis at the cutting edge corresponding with a width of necrosis at about 5 mm in histomorphometric examination and zones with histologically different characteristics. Rebleedings from the resection lines were avoided in all cases using the combined CO~2~ and Nd:YAG laser.
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