Gas emission during laparoscopic colorectal surgery using a bipolar vessel sealing device: A pilot study on four patients.

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Serval ID
serval:BIB_0B887A93F7DC
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Gas emission during laparoscopic colorectal surgery using a bipolar vessel sealing device: A pilot study on four patients.
Journal
Patient Safety in Surgery
Author(s)
Hübner M., Sigrist M.W., Demartines N., Gianella M., Clavien P.A., Hahnloser D.
ISSN
1754-9493 (Electronic)
ISSN-L
1754-9493
Publication state
Published
Issued date
2008
Volume
2
Number
6
Pages
22
Language
english
Notes
Publication types: Journal Article Publication Status: epublish
Abstract
BACKGROUND: Dissection during laparoscopic surgery produces smoke containing potentially toxic substances. The aim of the present study was to analyze smoke samples produced during laparoscopic colon surgery using a bipolar vessel sealing device (LigaSuretrade mark).
METHODS: Four consecutive patients undergoing left-sided colectomy were enrolled in this pilot study. Smoke was produced by the use of LigaSuretrade mark. Samples (5,5l) were evacuated from the pneumoperitoneum in a closed system into a reservoir. Analysis was performed with CO2-laser-based photoacoustic spectroscopy and confirmed by a Fourier-transform infrared spectrum. The detected spectra were compared to the available spectra of known toxins.
RESULTS: Samples from four laparoscopic sigmoid resections were analyzed. No relevant differences were noted regarding patient and operation characteristics. The gas samples were stable over time proven by congruent control measurements as late as 24 h after sampling. The absorption spectra differed considerably between the patients. One broad absorption line at 100 ppm indicating H2O and several unknown molecules were detected. With a sensitivity of alpha min ca 10-5 cm-1 no known toxic substances like phenol or indole were identified.
CONCLUSION: The use of a vessel sealing device during laparoscopic surgery does not produce known toxic substances in relevant quantity. Further studies are needed to identify unknown molecules and to analyze gas emission under various conditions.
Keywords
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Pubmed
Open Access
Yes
Create date
02/10/2009 19:05
Last modification date
20/08/2019 13:33
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