Krishnamurthy S, Powers S K
Milton S. Hershey Medical Center, Pennsylvania State University, Hershey 17033.
Lasers Surg Med. 1994;15(2):126-67. doi: 10.1002/lsm.1900150203.
Lasers have been used in neurosurgery for the past 25 years, undergoing modifications to suit the specific needs of this medical discipline. The present report reviews the current use of lasers in neurosurgical practice and examines the pros and cons of lasers in specific neurosurgical applications. In spite of their advantages, laser use is still not widespread in neurosurgery. One reason is the continued lack of complete control over real-time laser interactions with neural tissue. A greater acceptance and use of lasers by neurosurgeons will depend upon automated control over defined specific parameters for laser applications based upon the type of tissue, the desired effect on tissue, and application to the clinical situation without loss of precision and a lot of expense. This will require the integration of newer lasers, computers, robotics, stereotaxy, and concepts of minimally invasive surgery into the routine management of neurosurgical problems.
在过去25年里，激光已被应用于神经外科手术，并不断改进以适应这一医学领域的特殊需求。本报告回顾了激光在神经外科实践中的当前应用情况，并探讨了激光在特定神经外科应用中的优缺点。尽管激光具有诸多优势，但在神经外科手术中的应用仍不广泛。一个原因是目前仍无法完全实时控制激光与神经组织的相互作用。神经外科医生对激光的更多接受和使用将取决于能否基于组织类型、对组织的预期效果以及在不损失精度和成本过高的情况下应用于临床情况，对激光应用的特定参数进行自动控制。这将需要把更新型的激光、计算机、机器人技术、立体定向技术以及微创手术概念整合到神经外科问题的常规管理中。
