Russin D J, Kaplan S R, Goldberg R I, Barkin J S
Arch Surg. 1986 Dec;121(12):1399-403. doi: 10.1001/archsurg.1986.01400120045007.
Twenty-four patients with colorectal carcinoma and one patient with a recurrent, transitional-cell, vesical tumor invading the rectum but not amenable to surgical resection underwent neodymium-YAG laser therapy. There were 16 men and nine women with an average age of 75.6 years (range, 35 to 93 years). There were 14, 6, 1, 1, and 3 tumors found in the rectum, rectosigmoid colon, transverse colon, descending colon, and ascending colon, respectively. Symptoms consisted of bleeding or partial obstruction. Twelve patients were high-risk surgical candidates, 11 patients had widespread disease, and two patients had another primary tumor not controlled by a previous surgical procedure. The tumor was eradicated in two patients. There were two complications, namely, a perforation and a rectovaginal fistula. Thirteen patients died from their disease. The remaining patients have been kept free from obstruction and bleeding.
24例结肠直肠癌患者和1例复发性移行细胞膀胱肿瘤侵犯直肠且无法进行手术切除的患者接受了钕钇铝石榴石激光治疗。其中男性16例，女性9例，平均年龄75.6岁（范围35至93岁）。分别在直肠、直肠乙状结肠、横结肠、降结肠和升结肠发现14例、6例、1例、1例和3例肿瘤。症状包括出血或部分梗阻。12例患者为高风险手术候选者，11例患者有广泛病变，2例患者有另一种先前手术无法控制的原发性肿瘤。2例患者的肿瘤被根除。有2种并发症，即穿孔和直肠阴道瘘。13例患者死于疾病。其余患者未再出现梗阻和出血情况。
