Nd:YAG Laser Surgery: Overview of Applications

  • Stanley M. Shapshay

Abstract

Since its introduction into clinical medicine the neodymium:yttrium aluminum garnet (Nd:YAG) laser has found definite multispecialty use. The carbon dioxide (CO2) laser is clearly established as the premier precision cutting device but is seriously lacking in endoscopic applications because of its inability to be transmitted through available fibers. Certain specialties, such as otolaryngology, gynecology, and neurosurgery, still use the CO2 laser in preference to other laser wavelengths, since accessibility to the larynx, cervix, and brain is adequate without fiber technology. Good hemostasis with the CO2 laser, primarily for capillary-size blood vessels (microvasculature), and the ability to predict its precise soft tissue interaction have made it ideal for such applications as excisional biopsy of early carcinoma of the vocal cord and control of carcinoma in situ of the cervix. However, treatment of malignancy originating in such vascular areas as the trachea or bronchus requires more reliable hemostasis. For control of blood vessels larger than capillary size the Nd:YAG laser is the ideal wavelength.

Keywords

Catheter Quartz Dioxide Europe Argon 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Nath G, Gorisch W, Kiefhaber P: First laser endoscopy via fiberoptic transmission system. Endoscopy 5: 208–213, 1973.CrossRefGoogle Scholar
  2. 2.
    Bown SG: Tumour therapy with the Nd:YAG laser. In Joffe SN, Muckerheide MC, Goldman L (eds): Neodymium-YAG Laser in Medicine and Surgery. Elsevier, New York, 1983, pp 51–58.Google Scholar
  3. 3.
    Shapshay SM, Oliver P: Treatment of hereditary hemorrhagic telangiectasia by Nd-YAG laser photocoagulation. Laryngoscope 94: 1554–1556, 1984.PubMedCrossRefGoogle Scholar
  4. 4.
    Shapshay SM, David LM, Zeitels S: NeodymiumYAG laser photocoagulation of hemangiomas of the head and neck. Laryngoscope 97: 323–329, 1986.Google Scholar
  5. 5.
    Joffe SN: Contact neodymium: YAG laser surgery in gastroenterology: A preliminary report. Lasers Surg Med 6: 155–157, 1986.PubMedCrossRefGoogle Scholar
  6. 6.
    Dumon J-F, Reboud E, Garbe L, et al: Treatment of tracheobronchial lesions by laser photoresection. Chest 81: 278–284, 1982.PubMedCrossRefGoogle Scholar
  7. 7.
    Toty L, Personne C, Colchen A, Vourc’h G: Bronchoscopie management of tracheal lesions using the neodymium yttrium aluminum garnet laser. Thorax 36: 175–178, 1981.PubMedCrossRefGoogle Scholar
  8. 8.
    Shapshay SM, Dumon J-F, Beamis JF Jr: Endoscopic treatment of tracheobronchial malignancy: Experience with Nd-YAG and CO, lasers in 506 operations. Otolaryngol Head Neck Surg 93: 205–210, 1985.PubMedGoogle Scholar
  9. 9.
    Shapshay SM, Beamis JR Jr, Shahian DM: The use of lasers in thoracic surgery (editorial). Chest 87: 706–707, 1985.PubMedCrossRefGoogle Scholar
  10. 10.
    Mizushima K, Marada R, Namik M, et al: Endoscopic therapy of the YAG laser in early gastric cancer and gastric polyp. In Atsumi K, Nimsakul N (eds): Laser Tokyo 81. Inter Group Corp, Tokyo, 1981.Google Scholar
  11. 11.
    Dwyer RM, Yellin AE, Craig J, et al: Gastric hemostasis by laser phototherapy in man: A preliminary report. JAMA 236: 1883–1884, 1976.CrossRefGoogle Scholar
  12. 12.
    Frühmorgen P, Reidenbach H-D, Bodem F, et al: Experimental examinations on laser endoscopy. Endoscopy 6: 116–122, 1974.CrossRefGoogle Scholar
  13. 13.
    Fleischer D: Laser therapy of the upper GI tract. In Shapshay SM (ed): Endoscopic Laser Surgery Handbook. Marcel Dekker, New York, 1987.Google Scholar
  14. 14.
    Kiefhaber P, Kiefhaber K, Huber F, Nalb G: Endoscopic applications of Nd:YAG laser radiation in the gastrointestinal tract. In Joffe SN, Muckerheide MC, Goldman L (eds): Neodymium-YAG Laser in Medicine and Surgery. Elsevier, New York, 1983, pp 5–14.Google Scholar
  15. 15.
    Hofstetter A, Frank F: Laser use in urology. In Dixon JA (ed): Surgical Application of Lasers. Year Book Medical Publishers, Chicago, 1983, pp 146–162.Google Scholar
  16. 16.
    Goldrath MH, Fuller TA, Segal S: Laser photo-vaporization of endometrium for the treatment of menorrhagia. Am J Obstet Gynecol 140: 14–19, 1981.PubMedGoogle Scholar
  17. 17.
    Landthaler M, Brunner R, Haina D, et al: First experiences with the Nd:YAG laser in dermatology. In Joffe SN, Muckerheide MC, Goldman L (eds): Neodymium-YAG Laser in Medicine and Surgery. Elsevier, New York, 1983, pp 175–183.Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1988

Authors and Affiliations

  • Stanley M. Shapshay

There are no affiliations available

Personalised recommendations