RESUMO
Healing of liver wounds after marginal resection of the liver by CO2 laser of permanent action, scalpel and electric knife were studied. Considerable differences in the course of wound healing were observed. Wounds produced by laser heal without inflammatory infiltration of the abjacent tissues and within a shorter period of time.
Assuntos
Instrumentos Cirúrgicos , Cicatrização , Animais , Gatos , Eletrocirurgia/instrumentação , Hepatectomia , Terapia a Laser , Fígado/lesões , Fatores de Tempo , Ferimentos Penetrantes/fisiopatologiaRESUMO
The authors' experience with 45 papillosphincterotomies, performed for diseases of bile passages and chronic pancreatitis, is reported. The details of the operative technic, employed by the authors, are described. The technic of papillosphincterotomy on a conus-shape sound by means of a "laser scalpel" proved to be the most perfect one. Careful observation of the surgical technic made it possible to gain favourable results--only 1 of 45 operated patients died. Papillosphincterotomy is largely advocated in stenoses and concretions in the large duodenal papilla, strictures of choledocho-duodenoanastomoses, care should be taken not to overwiden indications to the operation concerned.