Heppner F, Oberbauer R W, Ascher P W
Acta Neurochir Suppl (Wien). 1985;35:123-5. doi: 10.1007/978-3-7091-8813-2_22.
The introduction of lasers in neurosurgery in 1976 can be considered as a major contribution to gaining access to "untouchable" areas of the brain. This immaterial instrument provides for precise cutting at low penetration depth in surrounding tissues and may carbonize, and thus remove, layers not to be touched because of their highly sensitive vicinity. From a total of 794 patients experiencing the advantages of laser surgery (1976-1984), a series of 12 children with lower brainstem tumors is presented. Intraoperative instability of vital functions was absent throughout, leaving the patients without deterioration of their initial neurological condition. Given appropriate handling and adequate experience, the laser is a singularly helpful surgical tool for gaining access to areas hitherto barred to surgery.
1976年激光在神经外科手术中的引入可被视为对进入大脑“不可触及”区域的一项重大贡献。这种非实体器械能够在低穿透深度下对周围组织进行精确切割，并且可以碳化从而移除因临近高度敏感区域而不应触碰的组织层。在总共794名受益于激光手术（1976年至1984年）的患者中，呈现了一组12例患有脑干下部肿瘤的儿童病例。术中生命功能始终未出现不稳定情况，患者初始神经状况未恶化。若操作得当且经验充足，激光是一种极为有用的手术工具，可用于进入迄今手术难以触及的区域。
