Amaral J F
Associate Professor of Surgery, Brown University, Department of Surgery, Rhode Island Hospital, Providence, RI.
Surg Technol Int. 1994;3:155-61.
The ideal energy form for use in laparoscopic surgery should provide controlled, hemostatic cutting. A good dissection technique should be further characterized by minimal thermal injury to surrounding tissue, no smoke obscuring the visual field, cutting ability equal to or superior to a conventional scalpel, coagulative ability equal to or greater than electrosurgery, lack of danger to the patient such as from stray energy, no toxins from exposure to smoke in the pneumoperitoneum elevating patient levels of methemoglobin or carboxyhemoglobin, no need for special preparation of the patient (grounding pad) or surgeon (glasses), and no need for special training. For a technology to replace that which is the current standard, this should all be provided at a cost similar to the cost associated with electrosurgery.
用于腹腔镜手术的理想能量形式应能实现可控的、止血性切割。良好的解剖技术还应具备以下特点：对周围组织的热损伤最小；无烟雾遮挡视野；切割能力等同于或优于传统手术刀；凝血能力等同于或大于电外科手术；不会对患者造成诸如杂散能量等危险；不会因气腹过程中接触烟雾产生毒素，导致患者高铁血红蛋白或碳氧血红蛋白水平升高；无需对患者（接地垫）或外科医生（眼镜）进行特殊准备；也无需特殊培训。对于一种要取代当前标准技术的技术而言，所有这些都应以与电外科手术相近的成本来实现。
