Pulmonary metastasectomy – A retrospective comparison of surgical outcomes after laser-assisted and conventional resection

Franzke, K.; Natanov, R.; Zinne, Norman; Rajab, Taufiek Konrad; Biancosino, Christian; Zander, I.; Lodziewski, S.; Ricklefs, Marcel; Kropivnitskaya, Irina; Schmitto, Jan D.; Haverich, Axel; Krüger, M.

doi:10.1016/j.ejso.2016.09.001

Cited by 27 publications

(32 citation statements)

References 24 publications

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“…Franzke et al in retrospective analysis, they compared resection with use of laser and conventional resection using other devices in 178 patients. There was no statistically significant survival difference between the two methods despite a significantly higher number of resected metastases in the laser group (24).…”

mentioning

confidence: 70%

Pulmonary metastasectomy and laser-assisted resection

Patrini¹,

Lawrence²,

Scarci³

et al. 2018

J. Thorac. Dis.

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mentioning

confidence: 70%

Pulmonary metastasectomy and laser-assisted resection

Patrini¹,

Lawrence²,

Scarci³

et al. 2018

J. Thorac. Dis.

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“…Recent series have suggested LAS with 1,320 nm Nd:YAG-lasers to be parenchyma-sparing, improve complete resection rates and thus provide beneficial results with longer survival rates especially in the case of resection of multiple pulmonary metastases (7,14). LAS provides a high precision tool for resection, causing only minimal damage and deformation of the surrounding lung tissue (15).…”

Section: Discussionmentioning

confidence: 99%

Pulmonary metastasectomy in sarcoma—experiences with laser-assisted resection

Schmid¹,

Le²,

Zeisel³

et al. 2018

J. Thorac. Dis.

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“…Lung metastases are often removed non-anatomically using a Nd:YAG laser [1,2], whereas pulmonary metastases are often removed via open access (thoracotomy). During open surgery the entire lung is carefully palpated.…”

Section: Introductionmentioning

confidence: 99%

Local lung coagulation post resection: an ex-vivo porcine model

et al. 2021

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Following non-anatomical resection of lung parenchyma with a Nd:YAG laser, a coagulated surface remains. As ventilation starts, air leakage may occur in this area. The aim of the present study was to investigate, whether additional coagulation either before or after ventilation has an additional sealing effect. Freshly slaughtered porcine heart-lung blocks were prepared. The trachea was connected to a ventilator. Using a Nd:YAG laser (wavelength: 1320 nm, power: 60 W), round lesions (1.5 cm in diameter) with a depth of 1.5 cm were applied to the lung using an 800-μm laser fiber (5 s per lesion). Group 1 (n = 12) was control. Additional coagulation was performed in group 2 (n = 12) without and in group 3 (n = 12) with ventilation restarted. Air leakage (ml) from the lesions was measured. The thickness of each coagulation layer was determined on histological slices. Differences between individual groups were analyzed by one-way ANOVA (significance p < 0.05). After resection, 26.2 ± 2.7 ml of air emerged from the lesions per single respiration in group 1. Air loss in group 2 was 24.6 ± 2.5 ml (p = 0.07) and in group 3 23.7 ± 1.8 ml (p = 0.0098). In comparison to groups 1 and 2 thickness of the coagulation layers in group 3 was significantly increased. After non-anatomical porcine lung resection with a Nd:YAG laser, additional coagulation of the ventilated resection area can reduce air leakage.

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Pulmonary metastasectomy – A retrospective comparison of surgical outcomes after laser-assisted and conventional resection

Cited by 27 publications

References 24 publications

Pulmonary metastasectomy and laser-assisted resection

Pulmonary metastasectomy and laser-assisted resection

Pulmonary metastasectomy in sarcoma—experiences with laser-assisted resection

Local lung coagulation post resection: an ex-vivo porcine model

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