腹腔镜手术中电外科的原理与安全措施。
Principles and safety measures of electrosurgery in laparoscopy.
作者信息
Alkatout Ibrahim, Schollmeyer Thoralf, Hawaldar Nusrat A, Sharma Nidhi, Mettler Liselotte
机构信息
Department of Obstetrics and Gynaecology, University Hospitals Schleswig-Holstein, Campus Kiel, Germany.
出版信息
JSLS. 2012 Jan-Mar;16(1):130-9. doi: 10.4293/108680812X13291597716348.
Abstract
BACKGROUND
Electrosurgical units are the most common type of electrical equipment in the operating room. A basic understanding of electricity is needed to safely apply electrosurgical technology for patient care.
METHODS
We reviewed the literature concerning the essential biophysics, the incidence of electrosurgical injuries, and the possible mechanisms for injury. Various safety guidelines pertaining to avoidance of injuries were also reviewed.
RESULTS
Electrothermal injury may result from direct application, insulation failure, direct coupling, capacitive coupling, and so forth.
CONCLUSION
A thorough knowledge of the fundamentals of electrosurgery by the entire team in the operating room is essential for patient safety and for recognizing potential complications. Newer hemostatic technologies can be used to decrease the incidence of complications.
摘要
背景
电外科设备是手术室中最常见的电气设备类型。为了安全地将电外科技术应用于患者护理，需要对电学有基本的了解。
方法
我们回顾了有关基本生物物理学、电外科损伤发生率以及可能的损伤机制的文献。还回顾了各种与避免损伤相关的安全指南。
结果
电热损伤可能由直接应用、绝缘故障、直接耦合、电容耦合等引起。
结论
手术室全体人员全面了解电外科的基本原理对于患者安全和识别潜在并发症至关重要。可使用更新的止血技术来降低并发症的发生率。
相似文献
1
Principles and safety measures of electrosurgery in laparoscopy.
JSLS. 2012 Jan-Mar;16(1):130-9. doi: 10.4293/108680812X13291597716348.
2
Complications and recommended practices for electrosurgery in laparoscopy.
Am J Surg. 2000 Jan;179(1):67-73. doi: 10.1016/s0002-9610(99)00267-6.
3
Electrosurgery in otolaryngology-head and neck surgery: principles, advances, and complications.
Laryngoscope. 2001 May;111(5):769-80. doi: 10.1097/00005537-200105000-00004.
4
Electrosurgery: principles and safety issues.
Clin Obstet Gynecol. 1995 Sep;38(3):610-21. doi: 10.1097/00003081-199509000-00021.
5
Laparoscopic electrosurgical complications and their prevention.
AORN J. 1995 Jul;62(1):51-3, 55, 58-9 passim; quiz 74-7. doi: 10.1016/s0001-2092(06)63683-1.
6
Cause and prevention of electrosurgical injuries in laparoscopy.
J Am Coll Surg. 1994 Aug;179(2):161-70.
7
Active electrode monitoring. How to prevent unintentional thermal injury associated with monopolar electrosurgery at laparoscopy.
Surg Endosc. 1998 Aug;12(8):1009-12. doi: 10.1007/s004649900769.
8
Laparoscopic electrosurgical injuries: survey results and their implications.
Surg Laparosc Endosc. 1995 Aug;5(4):311-7.
9
Surgical complications specific to monopolar electrosurgical energy: engineering changes that have made electrosurgery safer.
J Minim Invasive Gynecol. 2013 May-Jun;20(3):288-98. doi: 10.1016/j.jmig.2013.01.015.
10
Electrosurgical generators and monopolar and bipolar electrosurgery.
J Minim Invasive Gynecol. 2013 May-Jun;20(3):279-87. doi: 10.1016/j.jmig.2013.02.013.
引用本文的文献
1
Implementation of an Electrosurgical Checklist in a Podiatry Unit in Relation to a Case of Inadvertent Burns during Hallux Valgus Surgery.
Reports (MDPI). 2023 Sep 14;6(3):43. doi: 10.3390/reports6030043.
2
Comparing Safety and Efficacy: Laparoscopic vs. Open Pancreaticoduodenectomy for Pancreatic Ductal Adenocarcinoma: A Meta-analysis of Randomized Control Trials.
Indian J Surg Oncol. 2025 Apr;16(2):432-442. doi: 10.1007/s13193-024-02132-4. Epub 2024 Nov 22.
3
Clinical efficacy of electrosurgery and steel scalpel surgery for umbilical herniorrhaphy in bovine calves: A comparative analysis.
Heliyon. 2024 Dec 24;11(1):e41454. doi: 10.1016/j.heliyon.2024.e41454. eCollection 2025 Jan 15.
4
Safety assessment of electrosurgical electrodes by using mini pig tissue.
Heliyon. 2024 Jul 26;10(15):e35266. doi: 10.1016/j.heliyon.2024.e35266. eCollection 2024 Aug 15.
5
Expert knowledge-based peak current mode control of electrosurgical generators for improved output power regulation.
J Electr Bioimpedance. 2023 Nov 17;14(1):32-46. doi: 10.2478/joeb-2023-0005. eCollection 2023 Jan.
6
Advanced bipolar vessel sealing devices vs conventional bipolar energy in minimally invasive hysterectomy: a systematic review and meta-analysis.
Arch Gynecol Obstet. 2024 Apr;309(4):1165-1174. doi: 10.1007/s00404-023-07270-8. Epub 2023 Nov 13.
7
The 510(k) Third Party Review Program: Promise and Potential.
J Med Syst. 2023 Aug 29;47(1):93. doi: 10.1007/s10916-023-01986-5.
8
The role of bronchoscopy in the multidisciplinary approach to benign tracheal stenosis.
J Thorac Dis. 2023 Jul 31;15(7):3998-4015. doi: 10.21037/jtd-22-1734. Epub 2023 Jun 28.
9
Use and Abuse of Electrocautery in Adenoidectomy Hemostasis.
Medicina (Kaunas). 2023 Apr 10;59(4):739. doi: 10.3390/medicina59040739.
10
Complications associated with energy-based devices during thyroidectomy from 2010-2020.
World J Otorhinolaryngol Head Neck Surg. 2022 Apr 28;9(1):35-44. doi: 10.1016/j.wjorl.2021.04.008. eCollection 2023 Mar.
本文引用的文献
1
Insulation failure in laparoscopic instruments.
Surg Endosc. 2010 Feb;24(2):462-5. doi: 10.1007/s00464-009-0601-5. Epub 2009 Jul 2.
2
Thermal injury secondary to laparoscopic fiber-optic cables.
Surg Endosc. 2009 Aug;23(8):1720-3. doi: 10.1007/s00464-008-0219-z. Epub 2008 Nov 23.
3
Prospective comparison of four laparoscopic vessel ligation devices.
J Endourol. 2008 Oct;22(10):2307-12. doi: 10.1089/end.2008.9715.
4
The evolutionary state of electrosurgery: where are we now?
Curr Opin Obstet Gynecol. 2008 Aug;20(4):353-8. doi: 10.1097/GCO.0b013e3283073ab7.
5
"Current thoughts" in electrosurgery.
Int J Gynaecol Obstet. 2007 Jun;97(3):245-50. doi: 10.1016/j.ijgo.2007.03.001. Epub 2007 Apr 23.
6
Electrosurgery.
Curr Surg. 2006 Nov-Dec;63(6):458-63. doi: 10.1016/j.cursur.2006.06.017.
7
Efficacy and quality of vessel sealing: comparison of a reusable with a disposable device and effects of clamp surface geometry and structure.
Surg Endosc. 2006 Jun;20(6):890-4. doi: 10.1007/s00464-005-0380-6. Epub 2006 May 12.
8
Electrosurgery: history, principles, and current and future uses.
J Am Coll Surg. 2006 Mar;202(3):520-30. doi: 10.1016/j.jamcollsurg.2005.11.017.
9
PlasmaKinetic bipolar vessel sealing: burst pressures and thermal spread in an animal model.
J Endourol. 2005 Jan-Feb;19(1):107-10. doi: 10.1089/end.2005.19.107.
10
Safety and efficacy of using the LigaSure vessel sealing system for securing the pedicles in vaginal hysterectomy: randomised controlled trial.
BJOG. 2005 Mar;112(3):329-33. doi: 10.1111/j.1471-0528.2004.00325.x.
Zotero 插件