Iwasaki M, Sasako M, Konishi T, Maruyama Y, Wada T
Lasers Surg Med. 1985;5(4):429-38. doi: 10.1002/lsm.1900050410.
We report here our clinical experiences with Nd-YAG laser on general surgery, and evaluate the results of this procedure. From December 1979 to December 1981, we applied Nd-YAG laser to various operations as a hemostatic and cutting tool. For hemostasis, we used conventional quartz fiber which was covered with sterile tube, and hemostatic efficacy was examined especially in the subcutaneous bleeding and the bleeding from solid organs. For cutting, we used special devices, ie, Medilas YAG surgical probe (noncontact-type probe), and a laser blade (contact-type probe), and performed four liver resections. It is concluded that the hemostatic efficacy of Nd-YAG laser to various bleeders was proved in general surgical procedures, and furthermore this laser can cut tissue if we utilize these devices. When comparing these two devices, we would prefer the contact-type probe.
我们在此报告我们在普通外科使用钕钇铝石榴石（Nd-YAG）激光的临床经验，并评估该手术的结果。从1979年12月至1981年12月，我们将Nd-YAG激光作为一种止血和切割工具应用于各种手术。为了止血，我们使用了覆盖有无菌管的传统石英纤维，尤其检查了其在皮下出血和实体器官出血中的止血效果。为了切割，我们使用了特殊设备，即Medilas YAG手术探头（非接触式探头）和激光刀片（接触式探头），并进行了四次肝切除术。得出的结论是，在普通外科手术中，Nd-YAG激光对各种出血点的止血效果得到了证实，而且如果我们使用这些设备，这种激光还可以切割组织。在比较这两种设备时，我们更喜欢接触式探头。
