Kitano M, Nagasawa M, Tanaka F, Ko S
Department of Thoracic Surgery, Tenri Hospital.
Kyobu Geka. 1992 Jan;45(1):4-8.
Laser therapy is now a well-established procedure and an accepted method of treatment in thoracic surgery. Therefore, using Nd-YAG laser (Model Md-50 Y) at hospital, we had discussed for the technique and its indication of laser therapeutic application against chest diseases. The following results were obtained; 1) The first object of endoscopic laser therapy is to keep the normal air-way from tracheobronchial stenosis or its bleeding as fast as possible. 2) As this laser techniques are not only the quick expansion of the residual lung but also relative absence of air-leak and blood loss, they are indicated for open lung biopsy or partial resection of metastatic lung tumors, particularly in patients with poor pulmonary function. 3) In conjunction with standard surgical technique of chest surgery, this laser treatment provides numerous other possibilities which facilitate the achievement of the therapeutic goal of surgical operation on the lungs.
激光疗法如今已是胸外科一种成熟的手术方法和被认可的治疗手段。因此,我们在医院使用钕钇铝石榴石激光(型号Md - 50 Y),讨论了针对胸部疾病的激光治疗技术及其适应证。获得了以下结果:1)内镜激光治疗的首要目标是尽快防止气管支气管狭窄或其出血导致的气道异常。2)由于这种激光技术不仅能使残余肺快速扩张,而且漏气和失血相对较少,适用于开放性肺活检或转移性肺肿瘤的部分切除,尤其适用于肺功能差的患者。3)结合胸外科的标准手术技术,这种激光治疗提供了许多其他可能性,有助于实现肺部手术的治疗目标。