Ascher P W, Heppner F
Neurosurg Rev. 1984;7(2-3):123-33. doi: 10.1007/BF01780695.
New technical tools in surgery are only beneficial if they offer real improvements compared to the traditional techniques or if they open absolute new indications in surgery. Therefore we have tried to find absolute indications for the use of the indifferent laser system. Due to the specific wavelength the CO2-Laser is entirely absorbed at the surface. This specific performance allows one to use the CO2-Laser as the most precise cutting and as a completely new vaporizing instrument. It has become an irreplaceable tool in surgery of central lesions and brain stem tumours and also for spinal cord tumours. In addition the CO2-Laser is adaptable to the operating microscope. A gain of the same importance in the meantime is the Nd-YAG Laser, which works specially for coagulation, volume coagulation and endoscopic use. It is certain that laser surgery will evolve for beyond our imagination.
外科领域的新技术工具只有在相较于传统技术能带来实质改进，或者能开创全新的手术适应症时才有益处。因此，我们试图探寻使用非特定激光系统的绝对适应症。由于特定的波长，二氧化碳激光会在表面被完全吸收。这种特殊性能使得二氧化碳激光能够用作最精确的切割工具以及全新的汽化仪器。它已成为中枢病变和脑干肿瘤手术以及脊髓肿瘤手术中不可替代的工具。此外，二氧化碳激光可与手术显微镜配合使用。与此同时，具有同等重要意义的是钕钇铝石榴石激光，它专门用于凝固、大面积凝固以及内窥镜手术。可以肯定的是，激光手术的发展将超出我们的想象。
