Laparoscopic pneumodissection: Initial clinical experience

Margaret S Pearle; Ralph V. Clayman; Stephen Y. Nakada; Edward Pingleton; Elspeth M. McDougall; Fred D. Roemer; Terri G. Monk

doi:10.1016/S0090-4295(99)80101-0

Laparoscopic pneumodissection: Initial clinical experience

Margaret S Pearle, Ralph V. Clayman, Stephen Y. Nakada, Edward Pingleton, Elspeth M. McDougall, Fred D. Roemer, Terri G. Monk

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Objectives: We evaluated the efficacy of a new laparoscopic dissecting instrument that fires intermittent bursts of high-pressure carbon dioxide to separate tissue along natural planes. Methods: The pneumodissector (PD) was used in 2 patients undergoing laparoscopic procedures. Serum creatinine and bicarbonate were measured before and after the procedure, and arterial blood gases were measured before, during, and after use of the PD. Subjective assessment of the ease of dissection with the PD by the first assistant was recorded. Results: Acidosis and hypercarbia were not observed with use of the PD. The PD facilitated dissection along the iliac vessels, around the kidney, and in the renal hilum. Conclusions: The PD is a feasible method for rapid, blunt dissection during laparoscopic procedures.

Original language	English (US)
Pages (from-to)	882-885
Number of pages	4
Journal	Urology
Volume	45
Issue number	5
DOIs	https://doi.org/10.1016/S0090-4295(99)80101-0
State	Published - May 1995

ASJC Scopus subject areas

Urology

Access to Document

10.1016/S0090-4295(99)80101-0

Cite this

@article{32bae12db78e42a28e40274868c1b948,

title = "Laparoscopic pneumodissection: Initial clinical experience",

abstract = "Objectives: We evaluated the efficacy of a new laparoscopic dissecting instrument that fires intermittent bursts of high-pressure carbon dioxide to separate tissue along natural planes. Methods: The pneumodissector (PD) was used in 2 patients undergoing laparoscopic procedures. Serum creatinine and bicarbonate were measured before and after the procedure, and arterial blood gases were measured before, during, and after use of the PD. Subjective assessment of the ease of dissection with the PD by the first assistant was recorded. Results: Acidosis and hypercarbia were not observed with use of the PD. The PD facilitated dissection along the iliac vessels, around the kidney, and in the renal hilum. Conclusions: The PD is a feasible method for rapid, blunt dissection during laparoscopic procedures.",

author = "Pearle, {Margaret S} and Clayman, {Ralph V.} and Nakada, {Stephen Y.} and Edward Pingleton and McDougall, {Elspeth M.} and Roemer, {Fred D.} and Monk, {Terri G.}",

year = "1995",

month = may,

doi = "10.1016/S0090-4295(99)80101-0",

language = "English (US)",

volume = "45",

pages = "882--885",

journal = "Urology",

issn = "0090-4295",

publisher = "Elsevier Inc.",

number = "5",

}

TY - JOUR

T1 - Laparoscopic pneumodissection

T2 - Initial clinical experience

AU - Pearle, Margaret S

AU - Clayman, Ralph V.

AU - Nakada, Stephen Y.

AU - Pingleton, Edward

AU - McDougall, Elspeth M.

AU - Roemer, Fred D.

AU - Monk, Terri G.

PY - 1995/5

Y1 - 1995/5

N2 - Objectives: We evaluated the efficacy of a new laparoscopic dissecting instrument that fires intermittent bursts of high-pressure carbon dioxide to separate tissue along natural planes. Methods: The pneumodissector (PD) was used in 2 patients undergoing laparoscopic procedures. Serum creatinine and bicarbonate were measured before and after the procedure, and arterial blood gases were measured before, during, and after use of the PD. Subjective assessment of the ease of dissection with the PD by the first assistant was recorded. Results: Acidosis and hypercarbia were not observed with use of the PD. The PD facilitated dissection along the iliac vessels, around the kidney, and in the renal hilum. Conclusions: The PD is a feasible method for rapid, blunt dissection during laparoscopic procedures.

AB - Objectives: We evaluated the efficacy of a new laparoscopic dissecting instrument that fires intermittent bursts of high-pressure carbon dioxide to separate tissue along natural planes. Methods: The pneumodissector (PD) was used in 2 patients undergoing laparoscopic procedures. Serum creatinine and bicarbonate were measured before and after the procedure, and arterial blood gases were measured before, during, and after use of the PD. Subjective assessment of the ease of dissection with the PD by the first assistant was recorded. Results: Acidosis and hypercarbia were not observed with use of the PD. The PD facilitated dissection along the iliac vessels, around the kidney, and in the renal hilum. Conclusions: The PD is a feasible method for rapid, blunt dissection during laparoscopic procedures.

UR - http://www.scopus.com/inward/record.url?scp=0028818874&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028818874&partnerID=8YFLogxK

U2 - 10.1016/S0090-4295(99)80101-0

DO - 10.1016/S0090-4295(99)80101-0

M3 - Article

C2 - 7747381

AN - SCOPUS:0028818874

SN - 0090-4295

VL - 45

SP - 882

EP - 885

JO - Urology

JF - Urology

IS - 5

ER -

Laparoscopic pneumodissection: Initial clinical experience

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this