Original Article

J Minim Invasive Surg 2008; 11(2): 73-76

Published online December 15, 2008

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

복강경 수술 시 발생하는 연기와 연기필터의 효과

최석진ㆍ황시은ㆍ유희철ㆍ김찬영ㆍ이민로ㆍ윤현조

전북대학교 의학전문대학원 외과학교실

Surgical Smoke and the Effect of a Laparoscopic Filter

Seok Jin Choi, M.D., Si Eun Hwang, M.D., Hee Chul Yu, M.D., Chan Young Kim, M.D., Min Ro Lee, M.D., Hyun Jo Youn, M.D.

Department of Surgery, Chonbuk National University Medical School, Jeonju, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.

Keywords Laparoscopy, Smoke, Filter

Article

Original Article

J Minim Invasive Surg 2008; 11(2): 73-76

Published online December 15, 2008

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

복강경 수술 시 발생하는 연기와 연기필터의 효과

최석진ㆍ황시은ㆍ유희철ㆍ김찬영ㆍ이민로ㆍ윤현조

전북대학교 의학전문대학원 외과학교실

Surgical Smoke and the Effect of a Laparoscopic Filter

Seok Jin Choi, M.D., Si Eun Hwang, M.D., Hee Chul Yu, M.D., Chan Young Kim, M.D., Min Ro Lee, M.D., Hyun Jo Youn, M.D.

Department of Surgery, Chonbuk National University Medical School, Jeonju, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.

Keywords: Laparoscopy, Smoke, Filter

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eISSN 2234-5248