The argon plasma coagulatorFebruary 2002

Ginsberg, Gregory G.; Barkun, Alan N.; Bosco, John J.; Burdick, J. Steven; Isenberg, Gerard; Nakao, Naomi L.; Petersen, Bret T.; Silverman, William B.; Slivka, Adam; Kelsey, Peter B.

doi:10.1016/s0016-5107(02)70408-2

Cited by 121 publications

(51 citation statements)

References 32 publications

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“…APC uses a high-frequency, monopolar, electrosurgical generator, a source of inert argon gas as a conducting medium, and is delivered through a through-the-scope catheter. 85 APC is a noncontact method of electrocautery in which monopolar current travels directly from the single electrode to the tissue. This has the advantage of causing less charring of tissue and a more predictable depth of penetration.…”

Section: Argon Plasma Coagulationmentioning

confidence: 99%

Late rectal complications after prostate brachytherapy for localized prostate cancer

Phan¹,

Swanson²,

Levy³

et al. 2009

Cancer

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This review of the literature on late rectal complications after prostate brachytherapy indicated that it is a highly effective treatment modality for patients with clinically localized prostate cancer but can cause chronic radiation proctitis. The most common manifestation of chronic radiation proctitis was anterior rectal wall bleeding, which often occurred within the first 2 years after brachytherapy. It is interesting to note that the rates of late rectal morbidity appear to have declined over time, which may reflect improvements in implantation techniques and imaging. Rectal biopsy as part of the workup to evaluate rectal bleeding can lead to rectal fistula and the need for colostomy, a rare but major complication. The authors recommend 1) screening colonoscopy before brachytherapy for patients who have not had a screening colonoscopy within the preceding 3 years to rule out colorectal malignancies and, thus, facilitate conservative management should rectal bleeding occur; 2) lifestyle modifications during treatment to limit exposure of the rectum to radiation; and 3) conservative management for rectal bleeding that occurs within 2 years after brachytherapy. Prostate cancer is the leading cause of cancer in men and accounts for approximately 33% of cancer deaths among men in the US.1,2 Management options for organ-confined, low-to intermediate-risk prostate cancer include watchful waiting, radical prostatectomy, external-beam radiation therapy, and prostate brachytherapy with permanent interstitial implants. Recent improvements in radioactive seed implantation techniques have established prostate brachytherapy as a highly effective treatment modality for localized prostate cancer, with long-term local and biochemical control similar to outcomes observed after radical prostatectomy and external-beam radiation therapy. 3,4 Because prostate cancer is diagnosed

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Section: Argon Plasma Coagulationmentioning

confidence: 99%

Late rectal complications after prostate brachytherapy for localized prostate cancer

Phan¹,

Swanson²,

Levy³

et al. 2009

Cancer

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show abstract

“…ArC is also increasingly being used in the lung for the same indications. It is a monopolar application and requires the use of a dispersive (grounding) pad [14,15].…”

Section: Argon Assisted Coagulation (Apc Abc or Arc)mentioning

confidence: 99%

“…It is important to recognize that the manufacturer's recommendation for power setting also varies with each system. Argon assisted coagulation is a form of electrosurgery and is not a laser [15].…”

Section: Argon Assisted Coagulation (Apc Abc or Arc)mentioning

confidence: 99%

Math, myth and the fundamentals of electrosurgery

Ml¹,

Wj²

2016

J Hepatol Gastroenterol.

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“…The reason is that, since the tissue impedance increases when the tissue starts to dessicate after the coagulation process, the contact spot of the plasma on the tissue has the tendency to move to hydrated, possibly bleeding regions. APC is used in nearly every surgical specialist area, such as general and visceral surgery, urology, gynaecology, gastroenterological [11] and bronchological endoscopy, and ENT. The major application fields are haemostasis and tissue devitalization, with a focus on endoscopic applications (see Figure 6).…”

Section: Medical Applicationsmentioning

confidence: 99%