Koivukangas J, Heikkinen E R
Ann Clin Res. 1986;18 Suppl 47:85-95.
The basic problems and potential of CO2-laser and ultrasound aspirator in brain surgery are presented on the basis of experience with the Sharplan 733A CO2-laser and the Sonotec ultrasound aspirator. Complete removal of meningiomas and gliotic scar and partial removal of malignant astrocytomas by CO2-laser and ultrasound aspirator was performed. There were no complications related to the surgical procedure. The main advantage of the CO2-laser was precise cutting of neural tissue and rapid evaporation for debulkment of tumor. The ultrasound aspirator was especially useful for rapid internal debulkment by fragmentation and aspiration of soft tumors. On the basis of these experiences the surgical theater should be equipped with these and other instruments in such a way that they can be readily and interchangeably used in any neurosurgical procedure.
基于使用Sharplan 733A二氧化碳激光和Sonotec超声吸引器的经验，介绍了二氧化碳激光和超声吸引器在脑外科手术中的基本问题和潜力。使用二氧化碳激光和超声吸引器完全切除了脑膜瘤和胶质瘢痕，并部分切除了恶性星形细胞瘤。未发生与手术相关的并发症。二氧化碳激光的主要优点是能精确切割神经组织并快速蒸发以减少肿瘤体积。超声吸引器对于通过破碎和抽吸软肿瘤快速进行内部减瘤特别有用。基于这些经验，手术室应配备这些及其他器械，以便在任何神经外科手术中都能方便且可互换地使用。
