An electrosurgical system and method for ablating, resecting, or cutting
body structures, with minimal or no damage to tissue adjacent to the
treatment site. The system includes an electrosurgical probe having a
shaft with a shaft distal end bifurcated to provide first and second
arms. First and second electrode supports are disposed on the first and
second arms, respectively. At least one active electrode, in the form of
a loop or partial loop, is arranged between the first and second
electrode supports. A return electrode, also in the form of a loop or
partial loop, is arranged between the first and second electrode supports
distal to the active electrode. The active and return electrodes are
configured to promote substantially high electric field intensities and
associated high current densities between the active portion and the
target site when a high frequency voltage is applied to the electrodes.
These high current densities are sufficient to break down the tissue by
processes including molecular dissociation of tissue components. In one
embodiment, the high frequency voltage imparts energy to the target site
to effect the vaporization and volumetric removal of a layer of tissue
without causing substantial tissue damage beyond the layer of tissue
ablated. In another embodiment, a fragment of target tissue is removed,
with minimal or no damage to surrounding tissue, by a process including
the molecular dissociation of tissue components, and the tissue fragment
is retrieved for biopsy.