[Experimental liver and kidney surgery with CO2, CO, holmium, and neodym lasers. Cutting effect, hemostasis, histopathology, and healing (author's transl)].
Various laser devices (CO2, CO, Nd: YAG, and holmium: YAG lasers) have been used on pig livers and on dog kidneys for comparison with conventional surgical instruments (electroscalpel, cryoscalpel, and scalpel). CO2 and CO lasers caused the least tissue damage, followed by the holmium laser; severe damage was caused by the Nd: YAG laser. The order was reverse for coagulative effect. The conventional reference instruments showed a weaker hemostatic effect. Surfaces cut by laser healed in four to eight weeks without complications. Remnants of charred tissue in various quantities could still be detected after eight weeks in all cases where CO2, CO, and Nd: YAG lasers had been used. This obviously did not affect scar formation.
D000818:Animals; D002245:Carbon Dioxide; D002248:Carbon Monoxide; D004285:Dogs; D004598:Electrosurgery; D006487:Hemostasis; D006695:Holmium; D007668:Kidney / Q000601:surgery*; D053685:Laser Therapy; D007834:Lasers / Q000379:methods*; D008099:Liver / Q000601:surgery*; D009354:Neodymium; D013552:Swine; D014945:Wound Healing
D002245:Carbon Dioxide; D009354:Neodymium; D002248:Carbon Monoxide; D006695:Holmium
Experimentelle Leber- und Nierenchirurgie mit dem CO2-, CO-, Holmium- und Neodym-Laser.