Abstract
The Laser Bipolar Dissector (LBD, SLT Japan, Co., Ltd.) hemostatically cut through veins up to 5mm and arteries up to 3mm in diameter. The interluminal bursting pressure was above 346mm Hg after transection. It was clear during laparoscopic procedure that avoiding rebleeding was necessary to observe the operative goals. This report describes the use of the LBD that was attached to a newly developed Kelly clamb to perform a laparoscopic splenectomy. The LBD hemostatically cut the short gastric vessels and the vessels in the attaching ligaments of spleen without clipping.In the LBD procedure, one action, in which the laser energy is initiated through the bipolar probes with simultaneous compression of vessel with them, is necessary to accomplish the transection of vessels. Because the goal of laparoscopic surgery is to be a minimum of operative techniques, it is therefore reasonable to attempt to use the LBD in laparoscopic surgery.
