Neodymiumi:yttrium-aluminum garnet laser-assisted pulmonary resections

Limited lung resection using the potassium-titanyl-phosphate laser

“…Keenan et al [14] found that there is no difference between stapled resections and Nd:YAG laser resections of pulmonary nodular or interstitial disease with respect to duration of chest tube placement and hospital stay. Although our data showed statistically significant differences in the mean drainage time between the wedge resection group and the segmentectomy group, the average drainage time in both groups was less than or similar compared to that reported in other studies using the Nd:YAG laser [6,10,14]. However, the laser segmentectomy group had two severe cases of prolonged air leakage that needed post-operative pleurodesis.…”

“…Various devices, including the stapler, electrocautery, and laser, have been used to resect lung parenchyma. However, the use of the stapler technique for limited pulmonary resection is prone to substantial distortion of and mechanical impingement on the remaining bronchopulmonary tissues [6]. In contrast, the advantage of laser resection is that it preserves the healthy lung parenchyma, thus avoiding total volume loss [1].…”

“…As early as 1967, Minton et al [7] first suggested the use of the Nd:YAG laser as a tool for metastatic pulmonary disease. Since then, the usefulness of the Nd:YAG laser in pulmonary surgery has been documented in several papers [1][2][3]6].…”

A prospective randomized trial comparing completion technique of fissures for lobectomy: Stapler versus precision dissection and sealant

“…1,3,4 The routine use of surgical staplers does not result in adequate sealing in the majority of patients, 2,16 which leads to prolonged chest tube drainage time, increasing the patient's risk of pleural infections, pulmonary embolism, respiratory distress, and associated pain, therefore prolonging hospital stay. 3,13 Many procedures, such as the application of fibrin glue, [17][18][19] synthetic sealant, 20,21 and biodegradable sealant 22,23 reinforcement of pulmonary closure with various materials, 24,25 and the use of laser, 26,27 ultrasonic dissection, 28 and autologous blood patch 10 have been proposed to control and prevent air leaks (Table 3).…”