Use of CO2 laser flexible waveguides during laparoscopic cholecystectomy

Raymond J. Lanzafame M.D.

doi:10.1117/12.137340

1 June 1992 Use of CO₂ laser flexible waveguides during laparoscopic cholecystectomy

Raymond J. Lanzafame M.D.

Proceedings Volume 1643, Laser Surgery: Advanced Characterization, Therapeutics, and Systems III; (1992) https://doi.org/10.1117/12.137340
Event: OE/LASE '92, 1992, Los Angeles, CA, United States

Abstract

Laparoscopic cholecystectomy has revolutionized the management of symptomatic cholelithiasis and cholecystitis. Although electrosurgery devices are used by a majority of surgeons, laser technology is a valued addition to the armamentarium of the skilled laser laparoscopist. A variety of fiberoptic capable wavelengths have been applied successfully during this procedure. Use of the CO₂ laser for this purpose has lagged due to difficulties encountered with free-beam and rigid waveguide dissections via the laparoscope. Recent developments in flexible waveguide technology have the potential to expand the role of the CO₂ laser for laparoscopic cholecystectomy and other procedures. Twelve laparoscopic cholecystectomies were performed using Luxar (Bothell, WA) flexible microwaveguides of various configurations. In each case, dissection of the gallbladder from the gallbladder bed was accomplished with acceptable speed and hemostasis. There were no complications. Shortcomings include coupling and positioning with an articulated arm and occasional clogging of some waveguide tips with debris. Modifications of this technology are suggested. Flexible waveguides make the CO₂ laser a practical alternative for surgical laparoscopy.

Citation Download Citation

Raymond J. Lanzafame M.D. "Use of CO₂ laser flexible waveguides during laparoscopic cholecystectomy", Proc. SPIE 1643, Laser Surgery: Advanced Characterization, Therapeutics, and Systems III, (1 June 1992); https://doi.org/10.1117/12.137340

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