One Hundred Neodymium–YAG Laser Ablations of Obstructing Tracheal Neoplasms

Forty patients with obstructing, nonresectable tracheal neoplasms underwent 100 ablations with the neodymium–yttrium-aluminum garnet (YAG) laser. The laser allows bloodless resection and vaporization of tumors. Unlike the carbon dioxide laser, the neodymium–YAG laser can be used with the flexible br...

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Veröffentlicht in:The Annals of thoracic surgery 1984-10, Vol.38 (4), p.374-381
Hauptverfasser: Parr, Grant V.S., Unger, Michael, Trout, Robert G., Atkinson, William G.
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container_end_page 381
container_issue 4
container_start_page 374
container_title The Annals of thoracic surgery
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creator Parr, Grant V.S.
Unger, Michael
Trout, Robert G.
Atkinson, William G.
description Forty patients with obstructing, nonresectable tracheal neoplasms underwent 100 ablations with the neodymium–yttrium-aluminum garnet (YAG) laser. The laser allows bloodless resection and vaporization of tumors. Unlike the carbon dioxide laser, the neodymium–YAG laser can be used with the flexible bronchoscope and has an excellent effect on coagulation. Thirty-four patients had primary lung malignancies (epidermoid in 24); 4 had metastatic malignancies; and 2 had benign lesions. Results have been excellent in 22, fair in 10, and poor in 8. No patient has died or had a deleterious result. Complications have occurred in only 1 of 89 ablations done with the flexible bronchoscope. We believe that the neodymium–YAG laser is effective in opening major tracheal or bronchial obstructions and offers substantial symptomatic improvement in patients who are short of breath. Although this treatment is only palliative, the results have been excellent in more than half of the patients.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Aged
Aluminum
Biological and medical sciences
Female
Humans
Laser Therapy
Lung Neoplasms - complications
Lung Neoplasms - secondary
Male
Medical sciences
Middle Aged
Neodymium
Pneumology
Radiography
Tracheal Neoplasms - complications
Tracheal Neoplasms - secondary
Tracheal Neoplasms - surgery
Tracheal Stenosis - diagnostic imaging
Tracheal Stenosis - etiology
Tracheal Stenosis - surgery
Tumors of the respiratory system and mediastinum
Yttrium
title One Hundred Neodymium–YAG Laser Ablations of Obstructing Tracheal Neoplasms
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