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The Annals of Thoracic Surgery, Vol 38, 374-381, Copyright © 1984 by The Society of Thoracic Surgeons
GV Parr, M Unger, RG Trout and WG Atkinson
Forty patients with obstructing, nonresectable tracheal neoplasms underwent
100 ablations with the neodymium-yttrium-aluminum garnet (YAG) laser. The
laser allows bloodless resection and vaporization of tumors. Unlike the
carbon dioxide laser, the neodymium-YAG laser can be used with the flexible
bronchoscope and has an excellent effect on coagulation. Thirty-four
patients had primary lung malignancies (epidermoid in 24); 4 had metastatic
malignancies; and 2 had benign lesions. Results have been excellent in 22,
fair in 10, and poor in 8. No patient has died or had a deleterious result.
Complications have occurred in only 1 of 89 ablations done with the
flexible bronchoscope. We believe that the neodymium-YAG laser is effective
in opening major tracheal or bronchial obstructions and offers substantial
symptomatic improvement in patients who are short of breath. Although this
treatment is only palliative, the results have been excellent in more than
half of the patients.
ARTICLES
One hundred neodymium-YAG laser ablations of obstructing tracheal neoplasms
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