New application of bipolar coagulation in laparoscopic surgery

被引:14
作者
McKernan, JB
Stuto, A
Champion, JK
机构
[1] EMORY UNIV,DEPT SURG,ATLANTA,GA 30322
[2] PORDENONE HOSP,SURG UNIT 2,PORDENONE,ITALY
[3] MERCER UNIV,COLL MED,DEPT SURG,MACON,GA 31207
关键词
bipolar electrocautery; monopolary diathermy; laparoscopic surgery; hemostasis; tissue damage;
D O I
10.1097/00019509-199610000-00001
中图分类号
R61 [外科手术学];
学科分类号
摘要
Bipolar electrocautery is associated with a lower risk of tissue injury from an inadvertent energy transfer compared with monopolar diathermy, and bipolar coagulation has been effectively employed in obstetric and gynecologic procedures. The present report describes the successful use of bipolar diathermy during general laparoscopic surgery. Hemostasis and closure of even large vessels was possible with the use of bipolar forceps during laparoscopic cholecystectomy, fundoplication, appendectomy, and highly selective vagotomy procedures. No intraoperative complications resulting from bleeding were apparent in this series of 296 laparoscopic operations, nor were any postoperative complications suggestive of inadvertent tissue damage, such as peritonitis, apparent. Thus, these results suggest that bipolar coagulation can be used safely and without difficulty in laparoscopic surgical procedures.
引用
收藏
页码:335 / 340
页数:6
相关论文
共 15 条
[1]   MONOPOLAR ELECTROSURGERY AND NDYAG CONTACT-LASER(TM) IN LAPAROSCOPIC INTESTINAL SURGERY [J].
BOHM, B ;
MILSOM, JW ;
KITAGO, K ;
BRAND, M ;
FAZIO, VW .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1994, 8 (06) :677-681
[2]  
Bovie WT, 1928, SURG GYNECOL OBSTET, V47, P751
[3]  
Bryant T L, 1992, J Laparoendosc Surg, V2, P155, DOI 10.1089/lps.1992.2.155
[4]  
HODGSON WJB, 1984, SURGERY, V95, P230
[5]   LASER OR ELECTROCAUTERY FOR LAPAROSCOPIC CHOLECYSTECTOMY [J].
HUNTER, JG .
AMERICAN JOURNAL OF SURGERY, 1991, 161 (03) :345-349
[6]  
HURST BS, 1992, FERTIL STERIL, V58, P444
[7]  
Lane G E, 1993, J Laparoendosc Surg, V3, P209, DOI 10.1089/lps.1993.3.209
[8]   DIATHERMY IN LAPAROSCOPIC SURGERY [J].
MCANENA, OJ ;
WILLSON, PD .
BRITISH JOURNAL OF SURGERY, 1993, 80 (09) :1094-1096
[9]   EVALUATION OF BIPOLAR ELECTROCOAGULATION IN CANINE STOMACHS [J].
MOORE, JP ;
SILVIS, SE ;
VENNES, JA .
GASTROINTESTINAL ENDOSCOPY, 1978, 24 (04) :148-151
[10]  
NDUKA CC, 1994, J AM COLL SURGEONS, V179, P161