An electrosurgical handpiece to generate a plasma stream for performing electrosurgery on a surgical site on a patient comprising:
an electrode configured to be operatively coupled to an electrosurgical generator to receive electrical energy therefrom and disposed within an inner noble gas conduit;
said inner noble gas conduit including a distal end and a proximal end to form a plasma channel, said inner noble gas conduit configured to be operatively coupled to a noble gas source to feed noble gas to said inner noble gas conduit such that said electrode at least partially ionizes the noble gas to generate the plasma stream to be directed to the surgical site to perform the surgical procedure; and
an outer aspiration conduit including a distal end and a proximal end disposed in surrounding coaxial relation relative to said inner noble gas conduit to cooperatively form an aspiration channel therebetween, said outer aspiration conduit configured to be operatively coupled to a negative pressure source, said distal end of said outer aspiration conduit extending beyond said distal end of said inner noble gas conduit to remove fluid and solid debris from the surgical site.