Nishiwaki Y, Daikuzono N, Joffe S N
Department of Surgery, Numazu Medical Association Hospital, Japan.
Lasers Surg Med. 1992;12(6):645-9. doi: 10.1002/lsm.1900120613.
A laser bipolar dissector (LBD) using a 1064 nm Nd:YAG laser energy source that provides hemostatic dissection using low-powered 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.
一种使用1064纳米钕:钇铝石榴石激光能量源的激光双极解剖器（LBD）已被开发出来，它利用低功率激光能量（15 - 25瓦）进行止血解剖。临床应用包括部分肝切除术（n = 5）、胆囊切除术（n = 4）、阑尾切除术、淋巴结清扫术以及粘连分离术。LBD在非肝硬化肝脏切除术中效果良好，并减少了所需结扎的数量。使用LBD没有直接相关并发症。手术时间和失血量难以与传统方法进行比较。LBD可能适用于部分肝切除术和其他腹部手术。
