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In vitro comparison of thulium‐holmium‐chromium:YAG and argon ion lasers for welding of biliary tissue

Identifieur interne : 002D48 ( Istex/Curation ); précédent : 002D47; suivant : 002D49

In vitro comparison of thulium‐holmium‐chromium:YAG and argon ion lasers for welding of biliary tissue

Auteurs : Mehmet C. Oz [États-Unis] ; Lawrence S. Bass [États-Unis] ; Howard W. Popp [États-Unis] ; Roy S. Chuck [États-Unis] ; Jeffrey P. Johnson [États-Unis] ; Stephen L. Trokel [États-Unis] ; Michael R. Treat [États-Unis]

Source :

RBID : ISTEX:CD581DB7A05598F1DD157E8DA5F72085D536BC84

English descriptors

Abstract

Laser welding offers several potential advantages over suture closure, including improved healing, lack of a nidus for stone formation, and greater speed and ease. We examined in vitro gallbladder cystic duct welds created by two different systems, the thulmium‐holmium‐chromium (THC):YAG (2,150 nm) and argon ion (488–514 nm) lasers, in an effort to define suitable parameters for tissue fusion. Mean bursting pressures for argon welds were 95 mm Hg at 1.5 W CW and 26 mm Hg at 1.5 W, 50 msec chopped delivery. For the THC:YAG laser, the mean bursting pressure for welds created with 300 mJ pulses was 45 mm Hg. Full‐thickness tissue fusion and limited collateral thermal damage were observed histologically for both the CW argon and pulsed THC:YAG welds. Examination of the suggested mechanisms of tissue fusion for these photothermal lasers suggests that increased duration of tissue heating at the appropriate temperature results in more extensive collagen crosslinking and a stronger weld.

Url:
DOI: 10.1002/lsm.1900090307

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ISTEX:CD581DB7A05598F1DD157E8DA5F72085D536BC84

Le document en format XML

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<term>Absorption curve</term>
<term>Amorphous coagulum</term>
<term>Argon</term>
<term>Argon laser</term>
<term>Argon lasers</term>
<term>Arterial pressure tubing</term>
<term>Bile</term>
<term>Bile spectrum</term>
<term>Canine bile</term>
<term>Coherent corporation</term>
<term>Collagen</term>
<term>Collagen molecules</term>
<term>Collateral damage</term>
<term>Continuous exposure</term>
<term>Deionized water</term>
<term>Energy exposure</term>
<term>Gallbladder</term>
<term>Gallbladder tissue</term>
<term>Gastrointestinal tissue</term>
<term>Laser</term>
<term>Laser energy</term>
<term>Laser welding</term>
<term>Local tissue heating</term>
<term>Molecular dynamics</term>
<term>Palo alto</term>
<term>Psec pulse</term>
<term>Shrinkage temperature</term>
<term>Singlet oxygen</term>
<term>Stone formation</term>
<term>Suture material</term>
<term>Thermal buildup</term>
<term>Thermal relaxation time</term>
<term>Tissue fusion</term>
<term>Tissue heating</term>
<term>Tissue temperature</term>
<term>Tissue welding</term>
<term>Visible transmittance spectra</term>
<term>Weld</term>
<term>Welding</term>
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<term>Absorption curve</term>
<term>Amorphous coagulum</term>
<term>Argon</term>
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<term>Arterial pressure tubing</term>
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<term>Bile spectrum</term>
<term>Canine bile</term>
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<term>Deionized water</term>
<term>Energy exposure</term>
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<term>Gallbladder tissue</term>
<term>Gastrointestinal tissue</term>
<term>Laser</term>
<term>Laser energy</term>
<term>Laser welding</term>
<term>Local tissue heating</term>
<term>Molecular dynamics</term>
<term>Palo alto</term>
<term>Psec pulse</term>
<term>Shrinkage temperature</term>
<term>Singlet oxygen</term>
<term>Stone formation</term>
<term>Suture material</term>
<term>Thermal buildup</term>
<term>Thermal relaxation time</term>
<term>Tissue fusion</term>
<term>Tissue heating</term>
<term>Tissue temperature</term>
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<front>
<div type="abstract" xml:lang="en">Laser welding offers several potential advantages over suture closure, including improved healing, lack of a nidus for stone formation, and greater speed and ease. We examined in vitro gallbladder cystic duct welds created by two different systems, the thulmium‐holmium‐chromium (THC):YAG (2,150 nm) and argon ion (488–514 nm) lasers, in an effort to define suitable parameters for tissue fusion. Mean bursting pressures for argon welds were 95 mm Hg at 1.5 W CW and 26 mm Hg at 1.5 W, 50 msec chopped delivery. For the THC:YAG laser, the mean bursting pressure for welds created with 300 mJ pulses was 45 mm Hg. Full‐thickness tissue fusion and limited collateral thermal damage were observed histologically for both the CW argon and pulsed THC:YAG welds. Examination of the suggested mechanisms of tissue fusion for these photothermal lasers suggests that increased duration of tissue heating at the appropriate temperature results in more extensive collagen crosslinking and a stronger weld.</div>
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