Apfelberg D B, Maser M R, Lash H, White D N
Department of Plastic and Reconstructive Surgery, Palo Alto Medical Foundation, Calif.
Plast Reconstr Surg. 1989 Aug;84(2):273-9. doi: 10.1097/00006534-198908000-00014.
Thirty-two patients with a variety of vascular and nonvascular lesions have been resected over a 3-year period with the neodymium:YAG laser utilizing sapphire peripheral scalpel devices. These innovative peripheral devices concentrate the YAG laser energy to a small area at the end of the scalpel, providing precise incisions with excellent hemostasis. In addition, the tactile sensation of the scalpel contacting tissue is more comfortable and familiar than the "no touch" aspect of other lasers that are held away from the surface and depend on laser light transmission to approach the skin. Total excision with excellent hemostasis was achieved in 17 patients, while 15 patients had subtotal resection. The YAG laser with sapphire scalpels has allowed resection of very difficult and massive hemangiomas previously considered unresectable by standard techniques.
在三年时间里，使用掺钕钇铝石榴石（Nd:YAG）激光及蓝宝石周边手术刀设备对32例患有各种血管性和非血管性病变的患者进行了手术切除。这些创新的周边设备将YAG激光能量集中在手术刀末端的小区域，实现精确切割并具有出色的止血效果。此外，与其他远离皮肤表面、依靠激光束传输来接近皮肤的“非接触式”激光相比，手术刀接触组织时的触感更舒适、更熟悉。17例患者实现了完全切除且止血良好，15例患者进行了次全切除。配备蓝宝石手术刀的YAG激光能够切除以前被标准技术认为无法切除的非常困难的巨大血管瘤。
