HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Moghissi, K. Search for Related Content PubMed PubMed Citation Articles by Moghissi, K.

The Journal of Thoracic and Cardiovascular Surgery, Vol 97, 147-151, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Local excision of pulmonary nodular (coin) lesion with noncontact yttrium-aluminum-garnet laser

K Moghissi
Humberside Cardiothoracic Surgical Centre, Castle Hill Hospital, Cottingham, England.

Local excision of pulmonary nodular lesions with the noncontact mode of the neodymium: yttrium-aluminum-garnet laser was done in 14 patients. This was achieved through a conventional limited thoracotomy and then by evaporation/fulguration of 0.5 to 1 cm of the healthy parenchyma surrounding the lesion, which produced a bloodless incision. In 10 patients the lesion was a primary (N = 7) or secondary (N = 3) malignant tumor. The remaining four had a benign nodule. Preoperative radiology has demonstrated a solitary nodule in all 14 patients, but at operation in four patients (three with benign and one with malignant disease) there were two nodules. In each of these four patients the smaller nodule was evaporated entirely, without excision of normal pulmonary tissue. There were no hospital deaths or postoperative complications. One patient died 8 months postoperatively (carcinomatosis); the other 13 remain alive and well between 2 and 25 months after treatment. We believe that local excision of nodular pulmonary lesions with the laser should be considered whenever possible, particularly in high-risk patients, those with limited respiratory function, and in the elderly.

This article has been cited by other articles:

				J. Pfannschmidt, H. Dienemann, and H. Hoffmann Surgical Resection of Pulmonary Metastases From Colorectal Cancer: A Systematic Review of Published Series Ann. Thorac. Surg., July 1, 2007; 84(1): 324 - 338. [Abstract] [Full Text] [PDF]

				A. Rolle, A. Pereszlenyi, R. Koch, M. Richard, and B. Baier Is surgery for multiple lung metastases reasonable? A total of 328 consecutive patients with multiple-laser metastasectomies with a new 1318-nm Nd:YAG laser J. Thorac. Cardiovasc. Surg., June 1, 2006; 131(6): 1236 - 1242. [Abstract] [Full Text] [PDF]

				A. Rolle, R. Koch, S. K. Alpard, and J. B. Zwischenberger Lobe-sparing resection of multiple pulmonary metastases with a new 1318-nm Nd:YAG laser--first 100 patients Ann. Thorac. Surg., September 1, 2002; 74(3): 865 - 869. [Abstract] [Full Text] [PDF]

				R. J. Keenan, R. J. Landreneau, S. R. Hazelrigg, and P. F. Ferson VIDEO-ASSISTED THORACIC SURGICAL RESECTION WITH THE NEODYMIUM:YTTRIUM-ALUMINUM-GARNET LASER J. Thorac. Cardiovasc. Surg., August 1, 1995; 110(2): 363 - 367. [Abstract] [Full Text]