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Liver Resection with the Nd: YAG Laser: A Comparison of a New Contact Probe, the Laser Scalpel, with the Conventional Non-Contact Method

  • Stephen N. Joffe
  • K. A. Brackett
  • M. Y. Sankar
  • N. Daikuzono
Conference paper

Abstract

The technique of liver resection is well standardized, but recent reports still show that major liver resection is associated with an operative mortality of 4–20%. We recently compared the Nd:YAG laser and the Cavitron ultrasonic surgical aspirator (CUSA) with the routine blunt dissection method of performing a liver resection (1). The non-contact Nd:YAG laser resulted in a significant reduction in operating time compared to the other two methods (p<0.01), decreased the perioperative blood loss, but caused more extensive tissue necrosis. The study compares the conventional non-contact with the new contact artificial sapphire designed as a laser scalpel (2) in performing a liver resection with the Nd:YAG laser. Assessment included technical feasibility, duration of resection, tissue changes, adhesions, smoke production and blood loss.

Keywords

Liver Resection Major Liver Resection Smoke Production Laser Resection Laser Plume 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Tranberg, K.G., Ricotti, P., Brackett, K.A., Bjornson, H.S., Fischer, J.E., Joffe, S.N. Liver resection — a comparison using the NdrYAG laser, ultrasonic dissector or conventional blunt dissection. Am. J. Surg. 1985 (In Press).Google Scholar
  2. 2.
    Daikuzono, N., Joffe, S.N. An artificial sapphire probe for control of photocoagulation and tissue vaporization using the Nd:YAG laser. Med. Instrumentation 1985 (In Press).Google Scholar
  3. 3.
    Hodgson, W.J.B., DelGuerrio, L.R.M. Preliminary experience in liver surgery using the ultrasonic scalpel. Surgery 1984, 95: 230–34.Google Scholar
  4. 4.
    Orda, R., Wiznitzer, T., Goldwasser, B., et al. Partial hepatectomies with a hand-held laser knife: an experimental study. Br. J. Surg. 1977, 64: 857–61.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin, Heidelberg 1986

Authors and Affiliations

  • Stephen N. Joffe
    • 1
  • K. A. Brackett
    • 1
  • M. Y. Sankar
    • 1
  • N. Daikuzono
    • 1
  1. 1.Department of SurgeryUniversity of Cincinnati Medical CenterCincinnatiUSA

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