In vivo study of partial liver resection on pigs using a 1.9 µm Thulium fiber laser

Author(s):  
D. Theisen-Kunde ◽  
H. Wolken ◽  
V. Danicke ◽  
R. Brinkmann ◽  
H. Bruch ◽  
...  
2011 ◽  
Author(s):  
D. Theisen-Kunde ◽  
H. Wolken ◽  
V. Danicke ◽  
R. Brinkmann ◽  
H. Bruch ◽  
...  

2008 ◽  
Vol 22 (5) ◽  
pp. 1384-1391 ◽  
Author(s):  
Ana Navarro ◽  
Fernando Burdio ◽  
Enrique J. Berjano ◽  
Antonio Güemes ◽  
Ramón Sousa ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Maciej Janeczek ◽  
Jacek Świderski ◽  
Albert Czerski ◽  
Bogusława Żywicka ◽  
Jolanta Bujok ◽  
...  

Partial liver resection is a treatment of choice for liver tumors; the range of parenchyma excision varies from a small part of the tissue surrounding the neoplasm up to 70% of the organ. One of the major concerns during liver resection is blood loss. Thulium lasers which are characterized by the length of emission wave corresponding to a peak absorption of water create a new possibility of cutting tissues efficiently with minimal thermal damage and concurrently providing a good hemostasis control. The aim of our study was to evaluate an impact of liver transection with thulium doped fiber laser on an intraoperative bleeding and histopathological changes during postoperative period in swine model. Ten animals were subjected to open surgery partial liver resection and an incision of liver tissue with an all-fiber, diode-pumped, and continuous-wave Tm3+-doped fiber laser emitting 37.4 W of output power at ~1.94 μm wavelength. The macroscopic and histopathological evaluation was performed intraoperatively as well as 7 and 14 days after surgery. Macroscopically almost no bleeding was observed during surgery and no signs of bleeding were stated after 7 and 14 days. Histopathological analysis of the transection margin revealed a thermal damage area ranging in depth from 620.23 ± 23.82 μm on the day of surgery to 1817.70 ± 211.98 μm after 7 days. In the samples taken intraoperatively and after 7 days a superficial zone of carbonization was visibly separated from the deeper changes. After 14 days one 765.35 μm deep zone characterized by a granulation was present. In conclusion, thulium doped fiber laser is efficacious in cutting with a narrow zone of thermal injury and provides a good hemostasis during liver transection, thus being a potential tool for oncotic liver surgery.


2011 ◽  
Vol 26 (4) ◽  
pp. 509-514 ◽  
Author(s):  
Dirk Theisen-Kunde ◽  
Sönke Tedsen ◽  
Christian Doehn ◽  
Dieter Jocham ◽  
Ingo Kausch von Schmeling

2005 ◽  
Vol 25 (1_suppl) ◽  
pp. S57-S57
Author(s):  
Ken-ichiro Kasura ◽  
Megumi Watanabe ◽  
Kumiko Takahashi ◽  
Genki Mizukoshi ◽  
Seiji Ohkubo ◽  
...  

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 321-LB
Author(s):  
ANETA ALAMA ◽  
DOROTA PAWE?KA ◽  
ANETA MYSZCZYSZYN ◽  
MALGORZATA MALODOBRA-MAZUR

Diabetes ◽  
1986 ◽  
Vol 35 (9) ◽  
pp. 973-978 ◽  
Author(s):  
L. Capron ◽  
J. Jarnet ◽  
S. Kazandjian ◽  
E. Housset

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