¹ßÇ¥Çü½Ä :
|
Á¢¼ö¹øÈ£ - 890148 HNOP-58 |
Histologic Evaluation of Porcine Blood Vessels Sealed with 1470-nm Diode
Laser
|
Dept. of Otorhinolaryngology-Head and Neck Surgery1, Dept. of physiology2, Korea Univ. College of Medicine, LivsMed Inc.3 |
Nu-Ri IM,
Nu-Ri IM1, Byoungjae KIM1, Hyun-Ji LEE1, Min Woo PARK1, Kwang-Yoon JUNG1, Tae Hoon KIM1, Wonshik CHOI2, Jungho MOON2, Jung Joo LEE3, Seung-Kuk BAEK 1
|
¸ñÀû: Suture ligation to maintain hemostasis during surgery is a time-
consuming and skill-intensive
procedure. Energy based devices such as Harmonic scalpel or
Ligasure
have enabled more
rapid and efficient methods for vessel and tissue ligation.
Recently, lasers have been studied
as the new surgical instrument for vessel sealing. The aim of
this
study is to investigate the
safety and efficiency of vessel sealing system using 1470-nm
diode
laser. ¹æ¹ý:Femoral arteries (5mm diameter) were harvested from 40 kg female
pigs and then the
harvested artery was compressed with two glass slides to
eliminate
its luminal space.
Subsequently, it was irradiated with 1470-nm diode laser. The
sealing condition of vessel was
evaluated according to laser power (5-30W), irradiation time (5
or
10 seconds), and focus
mode (focus or defocus). The irradiated vessels were fixed in 4%
formaldehyde and then
processed to paraffin block. The paraffinized sample was
sectioned
and stained with H&E for
histological evaluation. °á°ú:The tissue destruction of vessels was more severe in the group irradiated with focus mode.
Additionally, the extent of damage was positively correlated to duration and power of laser
beam. Among the various conditions of irradiation, the laser power between 15 and 20 W for
5 seconds was appropriate to seal the blood vessels. °á·Ð:The adequate power and irradiation duration of laser can render
blood vessels to be sealed
effectively. Even if the relatively high power of laser was
required, it may be possible to reduce
the necessary power by modulating the compression condition of
blood
vessel. |
|