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Endoskopische Neodym-YAG-Lasertherapie kolorektaler Adenome und Karzinome

  • P. Kiefhaber
  • K. Kiefhaber
  • F. Huber
Conference paper
Part of the Langenbecks Archiv für Chirurgie Gegründet 1860 Kongreßorgan der Deutschen Gesellschaft für Chirurgie book series (DTGESCHIR, volume 1990)

Zusammenfassung

Die endoskopische Nd: YAG Lasertherapy (λ = 1,06 μm; 80–100 W) von kolorektalen Neoplasien ist in folgenden Fällen indiziert:
  1. 1

    Prämaligne, sessile Adenome können nach Schlingenbiopsie, soweit benigne, kurativ abgetragen werden.

     
  2. 2

    Karzinomobstruktionen können präoperativ rekanalisiert werden. Somit ist eine perorale Kolonspülung, die totale Koloskopie sowie die elektive primäre Tumorresektion möglich.

     
  3. 3

    Inoperable Karzinome können palliativ abgetragen, Blutungen verschlossen, Obstruktionen verhindert sowie Eiweiß- und Elektrolytsekretion reduziert werden.

     

Schlüsselwörter

Kolorektale Adenome Kolorektale Karzinome Endoskopie Neodym-YAG-Laser 

Endoscopic Nd: YAG Laser Therapy of Colorectal Adenoma and Carcinoma

Summary

Endoscopic Nd: YAG laser therapy (λ = 1.06 μm; 80–100 W) of colorectal neoplasia is indicated in:
  1. 1

    Premalignant, sessile adenoma. After snare resection for histologic estimation of dignity laser ablation is curative when it is benign.

     
  2. 2

    Obstructed colorectal cancer can be recanalized preoperatively to perform orthograde bowel lavage, total colonoscopy and elective primary tumour resection.

     
  3. 3

    Inoperable colorectal cancer can be irradiated palliatively by the laser to arrest bleeding, to avoid obstruction and to reduce protein and electrolyte secretion.

     

Key words

Colorectal adenoma Colorectal carcinoma Endoscopy Neodymium-YAG laser 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • P. Kiefhaber
    • 1
  • K. Kiefhaber
    • 1
  • F. Huber
    • 1
  1. 1.Stadtkrankenhaus Traunstein — Akademisches LehrkrankenhausLudwig-Maximilians Universität MünchenTraunsteinDeutschland

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