Usefulness of the Nd:YAG laser in parenchyma-sparing resection of pulmonary nodular lesions.
Tumori
; 80(5): 365-9, 1994 Oct 31.
Article
in En
| MEDLINE
| ID: mdl-7839468
ABSTRACT
AIMS AND BACKGROUND:
The neodymiumyttrium-aluminium-garnet (NdYAG) laser has been successfully employed in parenchyma-sparing resection of pulmonary nodular lesions. We report our experience with limited resection using a noncontact NdYAG laser applied through a thoracotomic approach.METHODS:
During the period March 1987-October 1993, we performed parenchyma-sparing resections of 66 pulmonary nodular lesions with a noncontact NdYAG laser in 47 patients. Nodules were approached through postero-lateral thoracotomy (n = 40), median sternotomy (n = 5) or staged bilateral thoracotomy (n = 2). Fifty-two lesions were located in a peripheral position and the others (n = 14) at various depths within the parenchyma.RESULTS:
Fifteen lesions were benign hamartoma (n = 5), chronic pneumonic infiltrate (n = 3), tuberculoma (n = 3), asbestosis (n = 2), Wegener's granuloma (n = 1). Twelve lesions were attributable to primary lung cancer and 33 were metastatic lesions. Another 6 lesions turned out to be necrotic metastases following chemotherapy. There were no perioperative deaths. Pulmonary re-expansion was shortly obtained mean drainage time was 4.31 +/- 3.9 days. Only one patient presented a prolonged drainage time (11 days); in this case, the air leak was successfully treated by tissue glue sealant trans-drainage infiltration. Follow-up ranged from 2 to 96 months. No case of relapse on the resection site has been observed.CONCLUSIONS:
The results suggest that NdYAG laser resection is safe and worthwhile in patients with multiple lesions and borderline pulmonary function.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pneumonectomy
/
Laser Therapy
/
Lung Diseases
/
Lung Neoplasms
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Tumori
Year:
1994
Document type:
Article
Affiliation country:
Italy