Bass L S, Treat M R
Division of Plastic Surgery, Columbia University, New York, New York 10032.
Lasers Surg Med. 1995;17(4):315-49. doi: 10.1002/lsm.1900170402.
Laser techniques for joining tissue, in combination with other surgical technologies, will be a hallmark of surgery in the next century. At present, there are many clinical applications of tissue welding and soldering which are beginning to achieve wide spread acceptance. These exciting clinical developments are the result of many advances which have been made in the past few years in our understanding of the mechanism of laser tissue welding. Also contributing to this progress are many important technical refinements such as tissue solders and feedback control of the laser device. In this article, we describe in depth the history and development of laser tissue welding including key theoretical concepts as well as crucial experiments which have added to our insight into this phenomenon. We also review the evolving concepts of its clinical application and indicate clinical applications which are likely to become more important in the future.
激光组织连接技术与其他外科技术相结合，将成为下个世纪外科手术的一大标志。目前，组织焊接和钎焊有许多临床应用，并且开始获得广泛认可。这些令人振奋的临床进展是过去几年我们在激光组织焊接机制理解方面取得诸多进展的结果。许多重要的技术改进，如组织钎料和激光设备的反馈控制，也促成了这一进展。在本文中，我们深入描述了激光组织焊接的历史与发展，包括关键的理论概念以及加深我们对这一现象理解的关键实验。我们还回顾了其临床应用的不断演变的概念，并指出了未来可能变得更为重要的临床应用。
