Vaos George
Department of Paediatric Surgery, P&A Kyriakou Children's Hospital, Athens, Greece.
Photomed Laser Surg. 2004 Aug;22(4):318-22. doi: 10.1089/pho.2004.22.318.
The present study was undertaken to assess the degree of efficacy of the Nd:YAG laser contact technique as compared with conventional surgery in circumcision.
Neodymium:yttrium-aluminum-garnet (Nd:YAG) laser in urology has many advantages over conventional surgical techniques. Clinical comparative studies between the Nd:YAG laser and conventional circumcision in boys have not yet been reported.
This study compared the clinical effects of the Nd:YAG laser contact technique with those of a conventional technique on the grounds of certain perioperative parameters, including operative time, length of hospital stay, postoperative complications and morbidity. Seventy-five patients undergoing circumcision were reviewed retrospectively. Operative time, length of hospital stay, and postoperative morbidity were analyzed. Differences between contact Nd:YAG laser surgery and conventional surgery were compared.
Operative time in the Nd:YAG laser treated group was significantly increased compared with conventionally treated patients (31.6 +/- 3.6 min vs. 19.8 +/- 1.9 min, p < 0.001). The length of hospital stay and early and late postoperative morbidity were significantly decreased in circumcised patients with the Nd:YAG laser contact technique compared with the conventional technique regardless of the indication for surgery (9.71 +/- 4.5 h vs. 11.8 +/- 5.1 h, p < 0.05 and 2% vs. 9%, p < 0.05 and 0% vs. 7.2%, p < 0.05, respectively).
These results indicate that the Nd:YAG laser contact technique is an effective laser-assisted procedure alternative to the conventional technique in circumcision with virtually no significant postoperative morbidity.
本研究旨在评估钕钇铝石榴石（Nd:YAG）激光接触技术与传统包皮环切术相比的疗效程度。
钕钇铝石榴石（Nd:YAG）激光在泌尿外科领域比传统手术技术具有许多优势。尚未有关于男孩中Nd:YAG激光与传统包皮环切术的临床对比研究报道。
本研究基于某些围手术期参数，包括手术时间、住院时间、术后并发症及发病率，比较了Nd:YAG激光接触技术与传统技术的临床效果。对75例行包皮环切术的患者进行回顾性分析。分析手术时间、住院时间及术后发病率。比较Nd:YAG激光接触手术与传统手术之间的差异。
与传统治疗患者相比，Nd:YAG激光治疗组的手术时间显著延长（31.6±3.6分钟对19.8±1.9分钟，p<0.001）。无论手术指征如何，采用Nd:YAG激光接触技术行包皮环切术的患者住院时间以及术后早期和晚期发病率均显著低于传统技术（分别为9.71±4.5小时对11.8±5.1小时，p<0.05；2%对9%，p<0.05；0%对7.2%，p<0.05）。
这些结果表明，Nd:YAG激光接触技术是一种有效的激光辅助手术方法，可替代传统包皮环切术，且术后几乎无明显发病率。
