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Laser Neurosurgical Techniques

  • Victor A. Fasano

Abstract

In comparison with the traditional techniques the main characteristics of the laser in the treatment of the nervous tissue tumors consist in the no-touch surgery, in the limited effect on restricted areas and in the possibility to obtain a shrinkage of the mass by drying of the tissue. These properties consent a sharp dissection which is peculiar of the CO2 laser; local cooling methods (N2 gas, Freon gas, gauzes soaked with saline solution, chilled water) can be used to limit the thermal spreading, thus increasing the selectivity of the maneuver33,34.

Keywords

Pituitary Adenoma Arteriovenous Malformation Laser Surgery Spinal Cord Tumor Brain Stem Tumor 
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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References

  1. 1.
    Bartal, A. D., Heilbronn, Y. D., Avran, J., Razon, N., 1982: Carbon dioxide laser surgery of basal meningiomas. Surg. Neurol. 77, 90–95.CrossRefGoogle Scholar
  2. 2.
    Beck, O. J., 1980: The use of the Nd: YAG and the CO2 laser in neurosurgery. Neurosurg. Rev.3, 261–266.PubMedCrossRefGoogle Scholar
  3. 3.
    Black, S., German, W. J., 1960: Observations on the relationship between the volume and the size of the orifice of experimental aneurysms. J. Neurosurg. 77, 894–899.Google Scholar
  4. 4.
    Bleehan, N. M., 1982: Hyperthermia in the treatment of cancer. Br. J. Cancer 45 (suppl. V), 96–100.Google Scholar
  5. 5.
    Brown, J. T., 1982: Laser fenestration for syringohydromyeha. In: Proceedings of the Congress on Laser Neurosurgery II, p. 237. Chicago.Google Scholar
  6. 6.
    Cerullo, L. J., 1981: CO2 laser for extraaxial neoplasms: technique. In: Proceedings of the I American Congress on Laser Neurosurgery, p. 66. Chicago.Google Scholar
  7. 7.
    Edwards, M. S., Boggan, J. E., Bolger, C. A., Davis, R. L., 1984: Effect of microsurgical and CO2 laser and argon laser resection on recurrence of the intracerebral 9 L rat gliosarcoma. Neurosurg. 14, 52–56.CrossRefGoogle Scholar
  8. 8.
    Edwards, M. S. B., Boggan, J. E., Fuller, T. A., 1983: The laser in neurological surgery. J. Neurosurg. 59, 555–566.PubMedCrossRefGoogle Scholar
  9. 9.
    Fasano, V. A., Benech, F., Ponzio, R. M., 1982: Observations on the simultaneous use of CO2 and Nd: YAG lasers in neurosurgery. Lasers Surg. Med. 2, 155–161.PubMedCrossRefGoogle Scholar
  10. 10.
    Fasano, V. A., Urciuoh, R., Ponzio, R. M., 1982: Photocoagulation of cerebral arteriovenous malformations and arterial aneurysms with the Nd: YAG or argon laser: Preliminary results in twelve patients. Neurosurg. 77, 754–760.CrossRefGoogle Scholar
  11. 11.
    Fasano, V. A., Ponzio, R. M., Benech, F., Sicuro, M., 1983: Effects of laser sources (Argon, Nd: YAG, CO2) on the elastic resistance of the vessel wall: histological and physical study. Lasers Surg. Med. 2, 45–54.CrossRefGoogle Scholar
  12. 12.
    Fasano, V. A., Ponzio, R. M., Benech, F., 1983: Effects of laser sources on the elastic resistance of the vessel walls. In: Neodymium-YAG Laser in Medicine and Surgery (Joffe, S., ed.), pp. 266–270. New York-Amsterdam-Oxford: Elsevier.Google Scholar
  13. 13.
    Handa, H., Takeuchi, J., 1983: Experiences with CO2 and Nd: YAG lasers in neurosurgery. In: New Frontiers in Laser Medicine and Surgery (Atsumi, K., ed.), pp. 196–206. Amsterdam-Oxford-Princeton: Excerpta Medica.Google Scholar
  14. 14.
    Hara, M., Okada, J., Takeuchi, K., Takizawa, T., Matsumoto, M., 1979: Evaluation of brain laser surgery. In: Laser Surgery III, part one (Kaplan, I., ed.), pp. 158–165. Tel-Aviv: OT-PAZ.Google Scholar
  15. 15.
    Heppner, F., Ascher, P. W., 1979: CO2 laser surgery of the spinal cord. In: Laser Surgery III, part one (Kaplan, I., ed.), pp. 57–59. Tel-Aviv: OT-PAZ.Google Scholar
  16. 16.
    Inaba, Y., Fujimoto, T., Kuroiwa, T., Fujiwara, K., 1979: CO2 laser microsurgery for brain tumor. In: Laser Surgery III, part one (Kaplan, I., ed.), pp. 119–127. Tel-Aviv: OT-PAZ.Google Scholar
  17. 17.
    Kelly, P. J., Alker, G. I., Jr., Goerss, S., 1982: Computer-assisted stereotactic laser microsurgery for the treatment of intracranial neoplasms. Neurosurg. 77, 324–331.CrossRefGoogle Scholar
  18. 18.
    Kelly, P. J., Alker, G. I., Jr., Zoll, J. G., 1982: A microstereo tactic approach to deep-seated arteriovenous malformations. Surg. Neurol. 7, 260–262.CrossRefGoogle Scholar
  19. 19.
    Levy, W. J., Nutkiewicz, A., Ditmore, M., Watts, C., 1983: Laser-induced dorsal root entry zone lesions for pain control. J. Neurosurg. 59, 884–886.PubMedCrossRefGoogle Scholar
  20. 20.
    Maira, G., Mohr, G., Panisset, K., Hardy, J., 1979: Laser photocoagulation for treatment of experimental aneurysms. J. Microsurg. 7, 137–147.CrossRefGoogle Scholar
  21. 21.
    Mattos Pimenta, L. H., Mattos Pimenta, A., 1979: Evaluation of difficult placed meningiomas operatedwith CO2 laser. In: Laser Surgery III, part one (Kaplan, I., ed.), pp. 145–146. Tel-Aviv: OT-PAZ.Google Scholar
  22. 22.
    Nashold, B. S., Jr., Walker, J. S., 1984: Laser effect on spinal cord. J. Neurosurg.60, 870.PubMedGoogle Scholar
  23. 23.
    Perria, C., FrancavigUa, N., Borzone, M., Chinnici, A., Piano, E., Pacini, P., 1983: The value and hmitations of the CO2 laser in neurosurgery. Neurochirurgia 26, 6–11.PubMedGoogle Scholar
  24. 24.
    Powers, S. K., Edwards, M. S. B., Boggan, J. E., Pitts, L. H., Gutin, P. H., Hosobuchi, Y., Adams, J. E., Wilson, L. B., 1984: Use of the argon surgical laser in neurosurgery. J. Neurosurg.60, 523–530.PubMedCrossRefGoogle Scholar
  25. 25.
    Robertson, J. H., Clark, W., Robertson, J. T., Gardner, L., Shea, M., 1983: Use of the carbon dioxide laser for acoustic tumor surgery. Neurosurg. 12,286–290.CrossRefGoogle Scholar
  26. 26.
    Sekhar, L. N., Heros, R. C., 1981: Origin, growth, and rupture of saccular aneurysms: A review. Neurosurg.8, 248–260.CrossRefGoogle Scholar
  27. 27.
    Strait, T. A., Robertson, J. H., Clark, W., 1982: Use of carbon dioxide laser in the operative management of intracranial meningiomas: a report of twenty cases. Neurosurg. 10, 464–467.CrossRefGoogle Scholar
  28. 28.
    Suzuki, J., Ohara, H., 1978: Chnicopathological study of cerebral aneurysms. J. Neurosurg.48, 505–514.PubMedCrossRefGoogle Scholar
  29. 29.
    Svaasand, L. O., Elhngsen, R., 1983: Penetration of laser irradiation in neoplastic and normal human brain tissue. In: Proceedings of the Congresso Nazionale Società Italiana di Laser Chirurgia e Applicazioni Biomediche, p. 41. Milano.Google Scholar
  30. 30.
    Takizawa, T., Yamazaki, T., Matsumoto, M., Sano, K., 1979: Laser surgery of brain tumors which were difficult to extirpate with the conventional modalities. Laser Surgery III, part one (Kaplan, I., ed.), pp. 133–144. Tel-Aviv: OT-PAZ.Google Scholar
  31. 31.
    Takizawa, T., 1978: Laser surgery of brain tumors. No Shinkei geka 9, 743. Google Scholar
  32. 32.
    De Tommasi, A., Occhiogrosso, M., Vailati, G., Bladassarre, G., Cingolani, A., 1983: Previsione dell’effetto di interazione laser-neoplasia cerebrale mediante studio foto-acustico dei coefficienti di assorbimento ottico di vari oncotipi alla lunghezza d’onda Ar + laser. In: Proceedings of the Congresso Nazionale Società Itahana di Laser Chirurgia e Applicazioni Biomediche, p. 37. Milano.Google Scholar
  33. 33.
    Whakaki, M., Yokoto, H., Tamino, H., Nimsakul, N., Osada, M., Ishizuki, M., Izn, S., 1979: Thermal effect of the CO2 laser and our technic in deahng with it. In: Laser Surgery III, part one (Kaplan, I., ed.), pp. 27–42. Tel-Aviv: OT-PAZ.Google Scholar
  34. 34.
    Welch, A. J., Motamedi, M., Gonzales, A., 1983: Evaluation of cooling techniques for the protection of the epidermis during Nd-YAG laser irradiation of the skin. In: Neodymium-YAG Laser in Medicine and Surgery (Joffe, S., ed.), pp. 195–204. New York-Amsterdam-Oxford: Elsevier.Google Scholar
  35. 35.
    Wharen, R. E., Jr., Anderson, R. E., Scheithauer, B., Sundt, T. E., Jr., 1984: The Nd: YAG laser in neurosurgery. Part 1. Laboratory investigations: dose- related biological response of neural tissue. J. Neurosurg.60, 531–539.PubMedCrossRefGoogle Scholar
  36. 36.
    Wharen, R. E., Jr., Anderson, R. E., Sundt, T. E., Jr., 1984: The Nd: YAG laser in neurosurgery. J. Neurosurg.60, 540–547.PubMedCrossRefGoogle Scholar
  37. 37.
    Yamagami, T., Handa, H., Takeuchi, J., Hashimoto, N., Taki, W., Yonekawa, Y., Otsuki, H., 1984: Extent of thermal penetration of Nd-YAG laser. Histological considerations. Neurosurg. Rev. 7, 165–170.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1986

Authors and Affiliations

  • Victor A. Fasano
    • 1
  1. 1.Institute of NeurosurgeryUniversity of TurinItaly

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