[Laparoscopic laser cholecystectomy].

Abstract

Although studies on laparoscopic cholecystectomy using laser surgery show no significant difference when compared to those done with cautery, the use of a laser does have substantial assets. A highly accurate dissection as well as coagulation of arteries up to a size 3 mm can be achieved if the appropriate type of laser is chosen. Our cases have shown us that trauma to the tissue due to laser surgery is minimal and causes less damage than when a monopolar hook electrode is used. The fact that patients with laser surgery have less pain than those where the operation was performed using the monopolar electrode has been noticed by various authors. The minor heat production and the better healing tendency after laser surgery may be an explanation of this phenomenon.