Abstract
The major requirements for safe and expeditious surgical dissection of a malignant process include (1) wide exposure, (2) meticulous hemostasis, (3) thorough knowledge of the anatomy of the region involved, and (4) a well-conceived plan for complete removal without tumor spillage. Oftentimes, in reoperative surgery the local accumulation of fibrous tissues obscures the normal anatomy. Destruction of the adhesive process is necessary for successful initiation of the cancer resection. In surgery for advanced malignancy, dissection through malignant tissue is unavoidable. Tumor spillage must be avoided as cancer is transected. This chapter describes a new technique for surgical dissection, laser mode electrosurgery. This technique electroevaporates scar tissue, fibrous adhesions, and fat, thus separating adherent structures one from another and rapidly defining the normal anatomy. It destroys tumor as it is transected so that peritoneal seeding is avoided. Any extraneous tissues that would otherwise obscure the surgeon’s full view of the structures involved are resected. This simplifies subsequent dissections and any other surgical procedures required at a later time. This maneuver is referred to as contouring.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Kluwer Academic Publishers, Boston
About this chapter
Cite this chapter
Sugarbaker, P.H. (1996). Laser-mode electrosurgery. In: Sugarbaker, P.H. (eds) Peritoneal Carcinomatosis: Principles of Management. Cancer Treatment and Research, vol 82. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1247-5_24
Download citation
DOI: https://doi.org/10.1007/978-1-4613-1247-5_24
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-8531-1
Online ISBN: 978-1-4613-1247-5
eBook Packages: Springer Book Archive