Kurbanov I A, Skobelkin O K, Litvin G D, Iakimenko A P
Khirurgiia (Mosk). 1990 Oct(10):18-21.
The principles of surgical techniques of operations with the use of carbon dioxide laser were developed on basis of the authors' personal experience of 8 years in surgical interventions on 65 patients. The stages of the operative approach, cholecystectomy, choledochotomy, +choledocho-duodeno-anastomosis, papillosphincterotomy, and sterilization of the operative wound and intraabdominal abscesses are illustrated by professionally drawn illustration-diagrams. Laser separation of the gallbladder from the liver takes 220 +/- 35 sec, laser hemostasis and cholestasis of the gallbladder bed--245 +/- 40 sec, laser choledochotomy--17 +/- 8 sec, laser duodenotomy--33 +/- 9 sec. No specific complications were encountered after laser interventions.
使用二氧化碳激光进行手术的外科技术原则是基于作者8年来对65例患者进行外科干预的个人经验而制定的。手术入路、胆囊切除术、胆总管切开术、胆总管-十二指肠吻合术、乳头括约肌切开术以及手术伤口和腹腔内脓肿的消毒等阶段，均通过专业绘制的插图-示意图进行展示。激光将胆囊与肝脏分离需220±35秒，胆囊床的激光止血和胆汁淤积处理需245±40秒，激光胆总管切开术需17±8秒，激光十二指肠切开术需33±9秒。激光干预后未出现特定并发症。
