Öz
Modern tıpta, toraks cerrahisinde minimal invaziv tekniklerin önceliğinin artması, lazer kullanımına olan ilgiyi de arttırmıştır. Kansız cerrahide etkin rol oynayan lazerler bazı fiziki ilkelere sahiptirler. Tüm lazerlerin ortak özellikleri, monokromatik, koherent ve kolime edilebilir olmalarıdır. Lazerlerin toraks cerrahisinde, özellikle de akciğer cerrahisinde kullanımı iyi bilinmektedir. Yayılan ışık dalga boyları ve dokuları pıhtılaştırma, kesme veya buharlaştırma güçleri ve yetenekleri bakımından akciğer parenkiminde kullanılan farklı birçok lazer türü vardır. Akciğer parenkiminde uygulanılabilenlerde, hücre içi su absorbsiyonu, kesme, hemostaz ve koagulasyon özelliği yüksek, parenkim pnömostazının istenen lokal etkilerini üreten ideal lazerler aranır. Bunlar arasında; Diyod, Nd:YAG ve Thulium lazer en çok kullanılanlardandır. Özellikle akciğer dokusunda metastaz olgularında minimum doku kaybına neden olması gerekçesiyle lazerler tercih edilirler. Bu derleme ile lazer fiziği ve mekanizması üzerinde durularak akciğer dokusunda lazer kullanımı hakkında bilgi verilmesi amaçlanmıştır.
Kaynakça
- Reference 1. Haley D., Pratt O.: Basic principles of lasers. Anesthesia and Intensive Care Medicine. 2017, 18(12): 648-650.
- Reference 2. Khemasuwan D., Mehta A. C., Wang K-P.: Past, present, and future of endobronchial laser photoresection. Journal of Thoracic Disease. 2015, 7(S4): S380-S388.
- Reference 3. Franck P., Henderson P. W., Rothaus K. O.: Basics of lasers history, physics, and clinical applications. Clinics in Plastic Surgery. 2016, 43: 505-513.
- Reference 4. Kasnak G., Fıratlı H. E.: Lazer fiziği ve lazer uygulamalarında temel kavramlar. Türkiye Klinikleri Periodontoloji Özel Dergisi.2016, 2(2): 1-6.
- Reference 5. Azadgoli B., Baker R. Y.: Laser applications in surgery. Annals of Translational Medicine. 2016, 4(23): 452.
- Reference 6. Schena E., Saccomandi P., Fong Y.: Laser ablation for cancer: past, present and future. Journal of Fonctional Biomaterials. 2017, 8(19): 1-15.
- Reference 7. Arroyo H. H., Neri L., Fussuma C.Y., Imamura R.: Diode laser for laryngeal surgery: a systematic review. International Archives of Otorhinolaryngology. 2016, 20: 172-179.
- Reference 8. Khalkhal E., Rezaei-Tavirani M., Zali M. R., Akbari Z.: The evaluation of laser application in surgery: A review article. Journal of Lasers in Medical Sciences. 2019, 10(1): S104-S111.
- Reference 9. Kirschbaum A., Höchsmann N., Steinfeldt T., Seyfer P., Pehl A., Bartsch D. K., Palade E.: Investigations of initial airtightness after non-anatomic resection of lung parenchyma using a thulium-doped laser with different optical fibres. Lasers in Medical Science. 2016, 31:1097-1103.
- Reference 10. Kirschbaum A., Bartsch D. K., Rexin P.: Comparison of the local effects of a 600-μm bare fibre at high laser power on lung parenchyma: Nd:YAG laser 1320 vs. 1064 nm. Lasers in Medical Science. 2017, 32: 557-562.
- Reference 11. Marulli G., Droghetti A., Chiara F.D., Calabrese F., Rebusso A., Perissinotto E., … Rea F.: A prospective randomized trial comparing stapler and laser techniques for interlobar fissure completion during pulmonary lobectomy. Lasers Medical Sciences. 2013, 28:505-511.
- Reference 12. Meyer C., Bartsch D., Mirow N., Kirschbaum A.: Video-asisted laser resection of lung metastases- feasibility of a new surgical technique. Thoracic Cardiovascular Surgery. 2017, 65:382-386.
- Reference 13. Janeczek M., Rybak Z., Lipinska A., Bujok J., Czerski A., Szymonowicz M., … Bogusława Zywicka B.: Local effects of a 1940 nm thulium-doped fiber laser and a 1470 nm diode laser on the pulmonary parenchyma: an experimental study in a pig model. Materials. 2021, 14 (18): 5457.
- Reference 14. Pereszlenyi A.: Laser segmental resection for pulmonary tumors. Advances in Cancer Research & Treatment. 2013, 1-9.
- Reference 15. Venuta F., Rolle A., Anile M., Martucci N., Bis B., Rocco G.: Techniques used in lung metastasectomy. Journal of Thoracic Oncology. 2010, 5(6): 145-150.
- Reference 16. Stefani A., Oricchio F., Cinquepalmi A., Aramini B., Morandi U.: Is laser-assisted resection preferable to lobectomy for pulmonary metastasectomy? Lasers in Medical Science. 2020, 35: 611-620.
- Reference 17. Ng C.S.H., Capili F., Zhao Z.R., Yu P.S.Y., Ho J.Y.K., Lau R.W.H.: Laser resection of pulmonary nodule via uniportal thoracoscopic surgery. Journal of Thoracic Disease. 2017, 9(3): 846-848.
- Reference 18. Zhang Y., Wang R., Qian K., Liu L., Li Y., Hu M., … Zhi X.: A retrospective comparative study of 2-µm thuliım laser during thoracoscopic resection of pulmonary nodules. Indian Journal of Surgery. 2020, 82(6): 1021-1025.
- Reference 19. Ahrar K., Gowda A., Javadi S., Borne A., Fox M., McNichols R., … Stafford R.J.: Preclinical assessment of a 980-nm diode laser ablation system in a large animal tumor model. Journal of Vascular and Interventional Radiology. 2010, 21(4): 555-561.
Öz
The increasing priority of minimally invasive techniques in thoracic surgery in modern medicine has also increased the interest in laser application. Lasers, which play an active role in bloodless surgery, have some physical principles. The common features of all lasers are that they are monochromatic, coherent and collimable. The application of lasers in thoracic surgery, especially lung surgery, is well known. There are many different types of lasers used in lung parenchyma in terms of the wavelengths of light emitted and their power and ability to coagulate, cut or vaporize tissues. Ideal lasers with high intracellular water absorption, cutting, hemostasis and coagulation properties and producing the desired local effects of parenchymal pneumostasis are sought for those that can be applied in the lung parenchyma. Among them; Diode, Nd:YAG and Thulium laser are the most used ones. Especially in lung tissue metastases, lasers are preferred because of causing minimal tissue loss. In this review, it is aimed to give information about the use of laser in lung tissue by emphasizing the physics and mechanism of laser.
Kaynakça
- Reference 1. Haley D., Pratt O.: Basic principles of lasers. Anesthesia and Intensive Care Medicine. 2017, 18(12): 648-650.
- Reference 2. Khemasuwan D., Mehta A. C., Wang K-P.: Past, present, and future of endobronchial laser photoresection. Journal of Thoracic Disease. 2015, 7(S4): S380-S388.
- Reference 3. Franck P., Henderson P. W., Rothaus K. O.: Basics of lasers history, physics, and clinical applications. Clinics in Plastic Surgery. 2016, 43: 505-513.
- Reference 4. Kasnak G., Fıratlı H. E.: Lazer fiziği ve lazer uygulamalarında temel kavramlar. Türkiye Klinikleri Periodontoloji Özel Dergisi.2016, 2(2): 1-6.
- Reference 5. Azadgoli B., Baker R. Y.: Laser applications in surgery. Annals of Translational Medicine. 2016, 4(23): 452.
- Reference 6. Schena E., Saccomandi P., Fong Y.: Laser ablation for cancer: past, present and future. Journal of Fonctional Biomaterials. 2017, 8(19): 1-15.
- Reference 7. Arroyo H. H., Neri L., Fussuma C.Y., Imamura R.: Diode laser for laryngeal surgery: a systematic review. International Archives of Otorhinolaryngology. 2016, 20: 172-179.
- Reference 8. Khalkhal E., Rezaei-Tavirani M., Zali M. R., Akbari Z.: The evaluation of laser application in surgery: A review article. Journal of Lasers in Medical Sciences. 2019, 10(1): S104-S111.
- Reference 9. Kirschbaum A., Höchsmann N., Steinfeldt T., Seyfer P., Pehl A., Bartsch D. K., Palade E.: Investigations of initial airtightness after non-anatomic resection of lung parenchyma using a thulium-doped laser with different optical fibres. Lasers in Medical Science. 2016, 31:1097-1103.
- Reference 10. Kirschbaum A., Bartsch D. K., Rexin P.: Comparison of the local effects of a 600-μm bare fibre at high laser power on lung parenchyma: Nd:YAG laser 1320 vs. 1064 nm. Lasers in Medical Science. 2017, 32: 557-562.
- Reference 11. Marulli G., Droghetti A., Chiara F.D., Calabrese F., Rebusso A., Perissinotto E., … Rea F.: A prospective randomized trial comparing stapler and laser techniques for interlobar fissure completion during pulmonary lobectomy. Lasers Medical Sciences. 2013, 28:505-511.
- Reference 12. Meyer C., Bartsch D., Mirow N., Kirschbaum A.: Video-asisted laser resection of lung metastases- feasibility of a new surgical technique. Thoracic Cardiovascular Surgery. 2017, 65:382-386.
- Reference 13. Janeczek M., Rybak Z., Lipinska A., Bujok J., Czerski A., Szymonowicz M., … Bogusława Zywicka B.: Local effects of a 1940 nm thulium-doped fiber laser and a 1470 nm diode laser on the pulmonary parenchyma: an experimental study in a pig model. Materials. 2021, 14 (18): 5457.
- Reference 14. Pereszlenyi A.: Laser segmental resection for pulmonary tumors. Advances in Cancer Research & Treatment. 2013, 1-9.
- Reference 15. Venuta F., Rolle A., Anile M., Martucci N., Bis B., Rocco G.: Techniques used in lung metastasectomy. Journal of Thoracic Oncology. 2010, 5(6): 145-150.
- Reference 16. Stefani A., Oricchio F., Cinquepalmi A., Aramini B., Morandi U.: Is laser-assisted resection preferable to lobectomy for pulmonary metastasectomy? Lasers in Medical Science. 2020, 35: 611-620.
- Reference 17. Ng C.S.H., Capili F., Zhao Z.R., Yu P.S.Y., Ho J.Y.K., Lau R.W.H.: Laser resection of pulmonary nodule via uniportal thoracoscopic surgery. Journal of Thoracic Disease. 2017, 9(3): 846-848.
- Reference 18. Zhang Y., Wang R., Qian K., Liu L., Li Y., Hu M., … Zhi X.: A retrospective comparative study of 2-µm thuliım laser during thoracoscopic resection of pulmonary nodules. Indian Journal of Surgery. 2020, 82(6): 1021-1025.
- Reference 19. Ahrar K., Gowda A., Javadi S., Borne A., Fox M., McNichols R., … Stafford R.J.: Preclinical assessment of a 980-nm diode laser ablation system in a large animal tumor model. Journal of Vascular and Interventional Radiology. 2010, 21(4): 555-561.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Veteriner Cerrahi |
| Bölüm | Derlemeler |
| Yazarlar | |
| Yayımlanma Tarihi | 15 Mayıs 2023 |
| Gönderilme Tarihi | 28 Ağustos 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 1 Sayı: 2 |
