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Cryosurgery in Pulmonology

  • Omar Maiwand

Abstract

The anti-inflammatory properties of low temperature have been known for centuries, however its application for tissue destruction dates from the work of James Arnott in the period 1845 to 1851 (1). Arnott used direct application of salt and crushed ice to achieve local temperatures of around −20°C and was thus able to treat advanced uterine tumors. This resulted in a reduction of pain, regression of the tumor and control of symptoms. Significant progress in the use of cryo surgery, the controlled application of extreme cold, was made possible by the availability of liquefied gases. These were used successfully in the treatment of skin cancer in 1889 (2). Further advances were facilitated by the development of a number of different types of cryoprobe in the early 1960’s. The first of these was developed by Cooper and Lee in 1961 (3) for neurological applications and used liquid nitrogen (−196°C) circulated through an insulated probe. In 1964 Amoils and Walker (4) developed an improved probe in which cooling was achieved by the Joule-Thomson effect (5), adiabatic expansion of a compressed gas (nitrous oxide), for the treatment of opthalmological conditions.

Keywords

Nitrous Oxide Carcinoid Tumor Main Bronchus Intercostal Nerve Bronchial Carcinoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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  • Omar Maiwand

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