Laser radiation delivered to a treatment area causes
vaporization of a substantially greater volume of tissue than the volume of residual coagulated tissue. The
laser radiation may have a
wavelength of about 300 nm to about 700 nm, may be used with a
smoke suppressing irrigant, may have an average
irradiance greater than about 5 kilowatts / cm2, and may have a spot size of at least 0.05 mm2. A laparoscopic
laser device, for use with an insufflated bodily cavity, may include an elongate body adapted for
insertion into an insufflated bodily cavity. A
laser energy delivery element, at the distal end of the elongate body, may be coupleable to a source of tissue-
vaporization-capable laser energy and capable of delivering laser energy along a laser energy path extending away from the laser
energy delivery element. A
smoke-suppressing liquid pathway, extending along the elongate body to an exit opening at the distal end, may be coupleable to a source of a
smoke-suppressing liquid. The smoke-suppressing liquid is directed generally along the laser energy path. A remote
visualization device may be used to view along the laser energy path.