Skip to main content
Log in

CO2-Laser in neurosurgery

  • II. Laser in neurosurgery
  • Published:
Neurosurgical Review Aims and scope Submit manuscript

Summary

New technical tools in surgery are only beneficial if they offer real improvements compared to the traditional techniques or if they open absolute new indications in surgery. Therefore we have tried to find absolute indications for the use of the indifferent laser system.

Due to the specific wavelength the CO2-Laser is entirely absorbed at the surface. This specific performance allows one to use the CO2-Laser as the most precise cutting and as a completely new vaporizing instrument. It has become an irreplaceable tool in surgery of central lesions and brain stem tumours and also for spinal cord tumours. In addition the CO2-Laser is adaptable to the operating microscope.

A gain of the same importance in the meantime is the Nd-YAG Laser, which works specially for coagulation, volume coagulation and endoscopic use.

It is certain that laser surgery will evolve for beyond our imagination.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kaplan, I.: Laser Surgery, Vol. I, Acad, Press, Jerusalem (1976)

    Google Scholar 

  2. Fox, J. L.: The use of laser radiation as a surgical light knife. J. Surg. Res. 9 (1969) 197–199

    Google Scholar 

  3. Rosomoff, H. L., F. Caroll: Effect of laser on brain and neoplasm. Surg. Forum 16 (1965) 481

    PubMed  Google Scholar 

  4. Stellar, S., T. G. Polanyi, H. Bredemeier: Lasers in surgery. In: Laser Applications in Medicine and Biology, Vol. II, Plenum Press. N. Y. (1974) 241–193

    Google Scholar 

  5. Ascher, P. W., R. Oberbauer, F. Heppner, G. Walter et al.: Laser beam — a new microsurgical instrument. Proc. Int. Conf. on Lasers 1978, SPIE (1978) 696–699

  6. Ascher, P. W., E. Ingolitsch, G. Walter, et al.: Ultrastructural findings in CNS tissue with CO2-Laser. In: Laser Surgery, Vol. 2., Jerusal. Acad. Press, (1978) 81–90

  7. Ascher, P. W., E. Ingolitsch, G. Walter: Neuere histologische Untersuchungsergebnisse nach Gebrauch des CO2-Lasers am ZNS. Kongrßbericht, 479–482. Egermann-Verlag, Wien 1979

    Google Scholar 

  8. Oberbauer, R., P. W. Ascher, E. Ingolitsch, et al.: Interaction of CO2-Laser with the Nervous System. In: Laser Surgery, Vol. 3, Jerusal. Academ. Press (1980) 128–132

  9. Walter, G., P. W. Ascher, E. Ingolitsch: The effect of Carbon-Dioxide- and -Neodymium-YAG-Lasers on the central and peripheral nervous system, cerebral blood vessels and the pituitary gland. In print

  10. Clarici, G., F. Heppner: The operative approach to lipomas of the corpus callosum. Neurochirurgia 22 (1979) 77–81

    PubMed  Google Scholar 

  11. Heppner, F.: The laser scalpel on the nervous system. In: Laser Surgery II. Jerusalem Acad. Press (1978) 79–80

  12. Ascher, P. W., R. Oberbauer, I. Knoetgen, et al.: Vorteile und Möglichkeiten des CO2-Lasers in der Neurochirurgie. Wien. Med. Wschr. 127 (1977) 260–262

    PubMed  Google Scholar 

  13. Ascher, P. W., R. W. Oberbauer, G. Clarici, et al.: Laserstrahl, ein modernes neurochirurgisches Instrument. In: Neurochirurgie von Heute, 53–57. Kwizda, Wien 1977

    Google Scholar 

  14. Ascher, P. W.: Longitudinal median myelotomy with Laser. In: Neurorad. Surg., Exc. Med., Amsterdam (1977) 267–270

    Google Scholar 

  15. Ascher, P. W., R. Oberbauer: Gebrauch des CO2-Lasers in der Neurochirurgie. In: Laser 77, IPC Science and Technology Press, Richmond (1977) 350–342

    Google Scholar 

  16. Heppner, F., P. W. Ascher: Operationen am Hirn und Rückenmark mit dem Sharplan 791 — CO2-Laser. Acta Chir. Austriaca 2 (1977) 32–34

    Google Scholar 

  17. Ascher, P. W.: Der CO2-Laser in der Neurochirurgie. Molden Verlag, Wien, Zürich 1977

    Google Scholar 

  18. Ascher, P. W.: The use of the CO2-laser in neurosurgery. In: Laser Surg., Vol. 2, Jerusal. Acad. Press (1978) 76–78

  19. Ascher, P. W., F. Heppner: CO2-Laser, a new neurosurgical instrument. Séra Med. Neurocir. 7 (1978) 97–137

    Google Scholar 

  20. Ascher, P. W.: Myelotomy with Laser. Proc. Royal Soc. Med., in press

  21. Ascher, P. W., F. Heppner: Clinical applications of laser in neurosurgery. In: Lasers in medicine, 1–14. John Wiley and Son, Chichester 1981

    Google Scholar 

  22. Ascher, P. W.: The value of recent advances in radiographic and neurosurgical techniques in the removal of spinal canal lesions. In: Radiographic Evaluation of the Spine, 717–721. Masson Publ. Inc., New York, Paris 1980

    Google Scholar 

  23. Ascher, P. W.: Newest ultrastructural findings after the use of a CO2-Laser on CNS tissue. Acta Neurochir., Suppl. 28, 572–581. Springer-Verlag, Wien 1979

    Google Scholar 

  24. Ascher, P. W., F. Heppner: Neurosurgical laser techniques. In: The Biomedical Laser, 217–227. Springer Publ., New York 1981

    Google Scholar 

  25. Ascher, P. W.: Microsurgical use of the CO2-Laser in neurosurgery. In: Microscopic and endoscopic surgery with the CO2-Laser, 298–314. J. Wright, Boston 1982

    Google Scholar 

  26. Ascher, P. W., F. Heppner: Möglichkeiten und Grenzen des CO2-Lasers in der Neurochirurgie. Biomed. Techn. 24 (1979) 335–336

    Google Scholar 

  27. Ascher, P. W.: Laseranwendungen in der Neurochirurgie. In: Laser 79, IPC Science and Techn. Press, Guildford 1979

    Google Scholar 

  28. Ascher, P. W.: Advantages and limitations of the CO2-laser in neurosurgery. Proc. Int. Conf. on Lasers, SPIE (1979) 122–125

  29. Ascher, P. W.: Early studies in neuro tissue — laser interaction. In: Laser Neurosurgery. William & Wilkins Corp., in press

  30. Ascher, P. W.: Micro-laser surgery of the spinal cord. In: Laser Neurosurgery, William & Wilkins Corp., in press

  31. Ascher, P. W., L. Cerullo: Clinical results of laser use in neurosurgery. In: Surgical Applications of Lasers, 163–174. Year Book Med. Publ., Chicago 1983

    Google Scholar 

  32. Ascher, P. W.: Absolute indications for laser use in neurosurgery. In: New Frontiers in Laser Medicine and Surgery, 181–187. Excerpta Medica, Amsterdam 1983

    Google Scholar 

  33. Ascher, P. W.: Absolute Indikationen für den Einsatz des CO2-Lasers und des Neodym-YAG-Lasers. Fortschritte der Medizin 22 (1983) 1033–1036

    Google Scholar 

  34. Ascher, P. W.: Different lasers in neurosurgery. A comparison of Neodymium-YAG and CO2-Laser. In: Neodymium-YAG-Laser in Medicine and Surgery, 120–125. Elsevier Publ., New York 1983

    Google Scholar 

  35. Heppner, F., P. W. Ascher: Über den Einsatz des Laserskalpells in der Neurochirurgie. Act. Med. Techn. 24 (1976) 424–426

    Google Scholar 

  36. Heppner, F., P. W. Ascher: Hirnoperationen mit dem CO2-Laser. Melsunger Nachr., Bd. 51/II, Suppl. (1977) 121–122

  37. Heppner, F., P. W. Ascher: Erste Versuche mit dem Laserstrahl in der Behandlung neurochirurgischer Erkrankungen. Zbl. f. Neurochir. 38 (1977) 77–86

    Google Scholar 

  38. Ascher, P. W.: Die Entwicklung des Sharplan 791 CO2-Lasers zum neurochirurgischen Instrument. Kongreßber., 471–473. Egermann Verl., Wien 1979

    Google Scholar 

  39. Heppner, F.: Neurochirurgische Operationen mit dem CO2-Laser. Neurologia et Psychiatria 1 (1978) 9–13

    Google Scholar 

  40. Heppner, F.: Behandlung von Mittellinienlaesionen des Gehirns mit dem CO2-Laser. Kongreßber., 21–30. Egermann Verl., Wien 1979

    Google Scholar 

  41. Heppner, F.: Erfahrungen mit dem CO2-Laser in der Chirurgie des Nervensystems. Zbl. Neurochir. 40 (1979) 247–304

    Google Scholar 

  42. Heppner, F.: Neuere Technologien im Einsatz gegen hirneigene bösartige Geschwülste. Vortrag, Österr. Akad. Wiss., Wien, in press

  43. Heppner, F.: New Technologies to Combat Malignant Tumours of the Brain. Anticancer Research 2 (1982) 101–110

    PubMed  Google Scholar 

  44. Heppner, F.: Lasers in Neurosurgery and their Forerunners. In: New Frontiers in Laser Surgery & Medicine. Excerpta Med., Amsterdam (1983) 39–46

    Google Scholar 

  45. Heppner, F.: Der medizinische Laser und seine Vorläufer. in press

  46. Heppner, F.: Die heilende Hitze. Fortschr. d. Med. 14 (1983) 621–623

    Google Scholar 

  47. Ascher, P. W.: A neurosurgical CO2-microlaser. Digest: 7. Int. Conf. Med. & Biol. Eng., Binyanei Ha'voma, Jerusal. (1979) 3–4

  48. Ascher, P. W., W. D. Sager: CT-Kontrollen nach Laser-Operationen. In: Derzeitige Stellung des CT in Radiologie und Klinik, 10–13. Georg-Thieme-Verlag, Stuttgart 1979

    Google Scholar 

  49. Ascher, P. W.: Der CO2-Laser in der Neurochirurgie. Fortschr. Med. 98 (1980) 253–254

    PubMed  Google Scholar 

  50. Ascher, P. W., F. Heppner: CO2-Laser surgery of the spinal cord. In: Laser Surg., Vol. 3, Jerusal. Acad. Press (1980), 57–59

  51. Ascher, P. W., F. Heppner: Micro-Laser Surgery of the Spinal Cord. In: Laser Surg., Vol. 3, Jerusal. Acad. Press (1980) 60–61

  52. Ascher, P. W.: A neurosurgical CO2-Micro-Laser. In: Laser Surg., Vol. 3, Jerusal. Acad. Press (1980) 115–118

  53. Ascher, P. W., P. Holzer: Laser surgery of peripheral nerves. In: Laser Surg., Vol. 3, Jerusal. Acad. Press (1980) 149–153

  54. Clarici, G., P. W. Ascher, L. Auer: Hypophysectomy with the Laser. In: Laser Surg., Vol. 3, Jerusalem Acad. Press (1980) 154–155

  55. Ascher, P. W.: Value of recent advances, using the CO2-Laser in neurosurgery. Proc. congress, in press

  56. Ascher, P. W.: Lasers in neurosurgery (history and development). In: Laser, Tokyo 1981, 420. Inter Group Cor., Tokyo 1981

    Google Scholar 

  57. Ascher, P. W., F. Heppner: Lasers in Medicine. Proc. Fin. “Laser die potencia”, “Applicazioni medichi”, Florenz (1979) 22–28

  58. Heppner, F., P. Ascher: The CO2-Laser in Neurosurgery. In: Int. Advances in Surgical Oncology V. Alan R. Liss, Inc., N. Y. (1982) 385–396

    Google Scholar 

  59. Ascher, P. W., P. W. Holzer: Chirurgie der peripheren Nerven mit dem CO2-Laser, verglichen mit herkömmlichen Instrumenten. Zbl. Neurochir. 41 (1980) 37–40

    Google Scholar 

  60. Heppner, F.: Der Laser in der Neurochirurgie. Buchbeitrag “Der Laser”, 143–145. Springer-Verlag, Berlin 1981

    Google Scholar 

  61. Lanner, G., P. W. Ascher, F. Heppner: Cortical activity, is there some bioelectrical interference with the CO2-Laser? In: Laser Surg., Vol. 3, Jerusal. Acad. Press (1980) 156–157

  62. Boggan, J. E., M. S. B. Edwards, R. L. Davis: A comparison of brain tissue response in rats to injury by Argon and CO2-Laser. Neurosurgery 11 (1982) 609

    PubMed  Google Scholar 

  63. Fasano, V. A.: Experiences on the use of various laser sources in neurosurgery. In: New Frontiers in Laser Medicine and Surgery, 188–195. Excerpta Medica, Amsterdam 1983

    Google Scholar 

  64. Fasano, V. A.: Treatment of Vascular Malformations of the Brain with Laser Source. Lasers in Surgery and Medicine 1 (1981) 347–356

    PubMed  Google Scholar 

  65. Beck, O. J.: Comparative Studies on the Use of Laser Neurosurgery. MBB-AT-Inform. 4 (1981) 51

    Google Scholar 

  66. Beck, O. J.: The Use of Nd-YAG and CO2-Laser in Neurosurgery. Neurosurg. Review 3 (1980) 261–266

    Google Scholar 

  67. Leheta, F., W. Gorisch: Coagulation of blood vessels by Argon and Nd-YAG-Laser radiation. In: Laser Surgery, Vol. 1, Jerusal. Acad. Press (1976) 178–185

  68. Kelly, P. W., G. J. Alker: A method for stereotactic laser microsurgery in deep seated CNS neoplasms. Appl. Neurophysiol. 43 (1980) 210

    PubMed  Google Scholar 

  69. Kelly, P. J., G. J. Alker, S. Goerss: Computer assisted stereotactic laser microsurgery for the treatment of intracranial neoplasms. Neurosurgery 10 (1982) 324–331

    PubMed  Google Scholar 

  70. Jain, K. K.: Handbook of Laser Neurosurgery. Charles Thomas Publ., Springfield (1983)

    Google Scholar 

  71. Takeuchi, J., H. Handa: Neodymium-YAG-Laser in neurosurgery. Surg. Neurol., in press

  72. Takizawa, T.: Comparison between the laser surgical unit and the electrosurgical unit. Neurol. Med. Chir. 17 (1977) 95

    Google Scholar 

  73. Handa, H., J. Takeuchi: Experiences with CO2- and Nd-YAG-Lasers in Neurosurgery. In: New Frontiers in Laser Medicine and Surgery, 196–203. Excerpta Medica, Amsterdam 1983

    Google Scholar 

  74. Olivecrona, H.: The surgical treatment of intracranial tumours. In: Handbuch der Neurochirurgie. Vol. IV/4, 290. Springer-Verlag, Berlin 1967

    Google Scholar 

  75. Kretschmer, K.: Tumours of Corpus callosum. In: Handbook of Clinical Neurology. Vol. XVIII, 490. North-Holland Publ. Comp., Amsterdam 1974

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ascher, P.W., Heppner, F. CO2-Laser in neurosurgery. Neurosurg. Rev. 7, 123–133 (1984). https://doi.org/10.1007/BF01780695

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01780695

Keywords

Navigation