“…Increased morbidity, particularly delayed pneumothorax, has been reported in patients treated with laser LVRS compared with staple LVRS [1]. Prior laser LVRS studies in animals have demonstrated that significant lung injury occurs in normal rabbit lungs with both CO 2 and Nd:YAG laser exposure, though the clinical and histologic presentations were distinct [8,10,11]. Holmium laser exposure is more efficacious but yields no differences in morbidity compared with Nd:YAG and CO 2 exposures [7].…”
In this rabbit model, combined staple/ holmium laser reduction for emphysema results in significant improvement in compliance and trends toward improvement in functional residual capacity above staple reduction alone, but with higher mortality.
“…Increased morbidity, particularly delayed pneumothorax, has been reported in patients treated with laser LVRS compared with staple LVRS [1]. Prior laser LVRS studies in animals have demonstrated that significant lung injury occurs in normal rabbit lungs with both CO 2 and Nd:YAG laser exposure, though the clinical and histologic presentations were distinct [8,10,11]. Holmium laser exposure is more efficacious but yields no differences in morbidity compared with Nd:YAG and CO 2 exposures [7].…”
In this rabbit model, combined staple/ holmium laser reduction for emphysema results in significant improvement in compliance and trends toward improvement in functional residual capacity above staple reduction alone, but with higher mortality.
Because the Ho:YAG was more effective and did not result in more acute lung injury than the standard Nd:YAG laser in this study, Ho:YAG lasers may have improved potential for laser treatment of bullae or lung volume reduction surgery (LVRS) compared to Nd:YAG lasers.
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