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KMID : 0978820080110020073
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2008 Volume.11 No. 2 p.73 ~ p.76
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Surgical Smoke and the Effect of a Laparoscopic Filter
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Choi Seok-Jin
Hwang Si-Eun
Yu Hee-Chul
Kim Chan-Young
Lee Min-Ro
Youn Hyun-Jo
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Abstract
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Purpose: The aim of this study is to analyze the gaseous byproducts produced during laparoscopic surgery and to determine the effect of a laparoscopic filter for protecting operating room personnel and patients from potentially biohazardous byproducts.
Methods: We analyzed the gaseous byproduct samples emitted during laparoscopic surgery and we compared the TVOCs (total volatile organic compounds) and chemicals between the filtered gas and the non-filtered gas. The subjects of our study were 14 patients who underwent laparoscopic surgery between November 2006 and February 2007.
Results: Surgical smoke or the fumes produced during laparoscopic surgery contained potentially biohazard chemicals such as acetonitrile, carbon disulfide, methane, phenol, styrene, sulfur dioxide, toluene and xylene and carcinogens such as benzene, chloroform and ethylene oxide. A laparoscopic filter, as an offtake device, effectively removes most of the harmful chemicals, including carcinogens.
Conclusion: Many kinds of potentially hazard, gaseous byproducts, including carcinogens, were produced during laparoscopic surgery, and especially when performing electrocautery. A laparoscopic smoke filter reduced the hazardous smoke and noxious odor, in addition to providing clearer vision for the operating personnel. Surgeons and operating room personnel should do all that is possible to protect themselves and patients from surgical smoke.
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KEYWORD
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Laparoscopy, Smoke, Filter
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