Endoscopic Nd: YAG Laser Photocoagulation in Oncology: A 5 Year Experience

  • P. Spinelli
  • M. Dal Fante


Actually the best we can do for patients with non-curable cancers is to improve their life expectancy and to give them a better quality of life by treating the most distressing symptoms. Lasers allow palliation of bleeding and obstruction in the respiratory, digestive, and urinary tracts, applied as unic therapeutic resource or in combination with radio- and chemo-therapy or with other endoscopic procedures. Besides palliation Endoscopic Laser Therapy (ELT), has curative indications, firstly in high risk patients with cancers at early stages and then in accurately selected cases, as an alternative to traditional therapeutic methods. Also sessile adenomas of the digestive tube can be treated by laser.


Colorectal Adenoma Main Bronchus Yttrium Aluminium Late Hemorrhage Intermediate Bronchus 
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  1. 1.
    Boyce M.Y.: Palliation of advanced esophageal cancer. Semin.Oncol. 11:186, 1984.Google Scholar
  2. 2.
    Riemann J.F., Eil Ch., Lux G., Demling L.: Combined therapy of malignant stenoses of the upper gastrointestinal tract by means of laser beam and bougienage. Endoscopy 17:43, 1985.CrossRefGoogle Scholar
  3. 3.
    Mellow M.H., Pinkas H.: Endoscopic therapy for esophageal carcinoma with Nd:YAG laser: prospective evaluation of efficacy, complications, and survival. Gastrointest. Endosc. 30: 334, 1984.CrossRefGoogle Scholar
  4. 4.
    Spinelli P., Dal Fante M.: Contact laser surgery with sapphire micro-probes. Proceedings of the European Conference on Optics, Optical Systems and Applications, KCOOSA, 1986, in press.Google Scholar
  5. 5.
    Ogilvie A.L., Dronfield M.W., Ferguson R., Atkinson M.: Palliative intubation of oesophagogastric neoplasms at fibreoptic endoscopy. GUT 23: 1060, 1982.CrossRefGoogle Scholar
  6. 6.
    Mathus-Vliegen E.M.H., Tytgat G.N.G.: Nd:YAG laser photocoagulation in gastroenterology: its role in palliation of colorectal cancer. Lasers Med. Scie. 1:75, 1986.CrossRefGoogle Scholar
  7. 7.
    Kao S.J., Shen C.Y., Hsu K.: Nd:YAG laser application in pulmonary and endobronchial lesions. Lasers Surg.Med. 6:296, 1986.CrossRefGoogle Scholar
  8. 8.
    Toty L., Personne C., Colchen A., Vourc’h G.: Bronchoscopic management, of tracheal lesions using the neodymium yttrium aluminium garnet laser. Thorax 36: 175, 1981.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin, Heidelberg 1988

Authors and Affiliations

  • P. Spinelli
    • 1
  • M. Dal Fante
    • 1
  1. 1.Divisione EndoscopiaIstituto Nazionale Tumori (INT)MilanItaly

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