Daniell J F
Baillieres Clin Obstet Gynaecol. 1989 Sep;3(3):545-62. doi: 10.1016/s0950-3552(89)80008-2.
Many gynaecologist are now doing more aggressive operative laparoscopic surgery. We feel that procedures which in the past required open laparotomy to be successfully performed, can now be done with fibreoptic laser energy. This chapter reviews our experiences with argon, KTP and Nd-YAG lasers for advanced laparoscopic surgery. We feel that these fibreoptic lasers allow us to obtain good results with less risk, shortened operating room time and with reduced difficulty during surgery. In this time of concern for cost containment in medicine, it seems reasonable for interested physicians to reduce costs without cutting corners or compromising patient care. Careful, intelligent, selective use of fibreoptic lasers as well as non-laser laparoscopic techniques in gynaecology may help in cost containment by allowing compatible results while avoiding major surgery with its concomitant expense, increased risks, morbidity and discomfort for patients. All forward-thinking gynaecologists should investigate the potential for fibreoptic laparoscopic laser surgery in their practices.
如今，许多妇科医生都在开展更具侵入性的腹腔镜手术。我们认为，过去需要通过开腹手术才能成功实施的手术，现在可以借助光纤激光能量来完成。本章回顾了我们使用氩激光、KTP激光和钕钇铝石榴石激光进行高级腹腔镜手术的经验。我们认为，这些光纤激光使我们能够在降低风险、缩短手术时间并减少手术难度的情况下取得良好效果。在当前关注医疗成本控制的时代，对于感兴趣的医生来说，在不偷工减料或损害患者护理质量的前提下降低成本似乎是合理的。在妇科领域谨慎、明智、有选择地使用光纤激光以及非激光腹腔镜技术，通过取得兼容的效果，同时避免大型手术及其带来的相应费用、增加的风险、发病率和患者不适，可能有助于控制成本。所有有前瞻性思维的妇科医生都应该在他们的实践中研究光纤腹腔镜激光手术的潜力。
