Neurosurgical applications of the 2-μm thulium laser: histological evaluation of meningiomas in comparison to bipolar forceps and an ultrasonic aspirator.
Identifieur interne : 000356 ( PubMed/Checkpoint ); précédent : 000355; suivant : 000357Neurosurgical applications of the 2-μm thulium laser: histological evaluation of meningiomas in comparison to bipolar forceps and an ultrasonic aspirator.
Auteurs : Emiliano Passacantilli [Italie] ; Manila Antonelli ; Alberto D'Amico ; Catia P. Delfinis ; Giulio Anichini ; Jacopo Lenzi ; Antonio SantoroSource :
- Photomedicine and laser surgery [ 1557-8550 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical : Thulium.
- instrumentation : Electrosurgery.
- surgery : Meningeal Neoplasms, Meningioma.
- therapy : Meningeal Neoplasms, Meningioma.
- Adult, Aged, Female, Humans, Laser Therapy, Male, Middle Aged, Ultrasonic Therapy.
Abstract
The authors evaluated the histological effects of the 2-μm thulium laser on meningioma tissue, comparing them to the results obtained using bipolar forceps and an ultrasonic aspirator.
DOI: 10.1089/pho.2011.3137
PubMed: 22404558
Affiliations:
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pubmed:22404558Le document en format XML
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Delfinis</name></author><author><name sortKey="Anichini, Giulio" sort="Anichini, Giulio" uniqKey="Anichini G" first="Giulio" last="Anichini">Giulio Anichini</name></author><author><name sortKey="Lenzi, Jacopo" sort="Lenzi, Jacopo" uniqKey="Lenzi J" first="Jacopo" last="Lenzi">Jacopo Lenzi</name></author><author><name sortKey="Santoro, Antonio" sort="Santoro, Antonio" uniqKey="Santoro A" first="Antonio" last="Santoro">Antonio Santoro</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="doi">10.1089/pho.2011.3137</idno><idno type="RBID">pubmed:22404558</idno><idno type="pmid">22404558</idno><idno type="wicri:Area/PubMed/Corpus">000380</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000380</idno><idno type="wicri:Area/PubMed/Curation">000380</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000380</idno><idno type="wicri:Area/PubMed/Checkpoint">000380</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000380</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Neurosurgical applications of the 2-μm thulium laser: histological evaluation of meningiomas in comparison to bipolar forceps and an ultrasonic aspirator.</title><author><name sortKey="Passacantilli, Emiliano" sort="Passacantilli, Emiliano" uniqKey="Passacantilli E" first="Emiliano" last="Passacantilli">Emiliano Passacantilli</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurological Sciences, Neurosurgery, University of Rome Sapienza, Rome, Italy. e.passacantilli@gmail</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurological Sciences, Neurosurgery, University of Rome Sapienza, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Antonelli, Manila" sort="Antonelli, Manila" uniqKey="Antonelli M" first="Manila" last="Antonelli">Manila Antonelli</name></author><author><name sortKey="D Amico, Alberto" sort="D Amico, Alberto" uniqKey="D Amico A" first="Alberto" last="D'Amico">Alberto D'Amico</name></author><author><name sortKey="Delfinis, Catia P" sort="Delfinis, Catia P" uniqKey="Delfinis C" first="Catia P" last="Delfinis">Catia P. Delfinis</name></author><author><name sortKey="Anichini, Giulio" sort="Anichini, Giulio" uniqKey="Anichini G" first="Giulio" last="Anichini">Giulio Anichini</name></author><author><name sortKey="Lenzi, Jacopo" sort="Lenzi, Jacopo" uniqKey="Lenzi J" first="Jacopo" last="Lenzi">Jacopo Lenzi</name></author><author><name sortKey="Santoro, Antonio" sort="Santoro, Antonio" uniqKey="Santoro A" first="Antonio" last="Santoro">Antonio Santoro</name></author></analytic><series><title level="j">Photomedicine and laser surgery</title><idno type="eISSN">1557-8550</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Electrosurgery (instrumentation)</term><term>Female</term><term>Humans</term><term>Laser Therapy</term><term>Male</term><term>Meningeal Neoplasms (surgery)</term><term>Meningeal Neoplasms (therapy)</term><term>Meningioma (surgery)</term><term>Meningioma (therapy)</term><term>Middle Aged</term><term>Thulium</term><term>Ultrasonic Therapy</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Méningiome ()</term><term>Sujet âgé</term><term>Thulium</term><term>Thérapie laser</term><term>Tumeurs des méninges ()</term><term>Ultrasonothérapie</term><term>Électrochirurgie (instrumentation)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Thulium</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Electrosurgery</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Meningeal Neoplasms</term><term>Meningioma</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Meningeal Neoplasms</term><term>Meningioma</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Laser Therapy</term><term>Male</term><term>Middle Aged</term><term>Ultrasonic Therapy</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Méningiome</term><term>Sujet âgé</term><term>Thulium</term><term>Thérapie laser</term><term>Tumeurs des méninges</term><term>Ultrasonothérapie</term><term>Électrochirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The authors evaluated the histological effects of the 2-μm thulium laser on meningioma tissue, comparing them to the results obtained using bipolar forceps and an ultrasonic aspirator.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">22404558</PMID><DateCreated><Year>2012</Year><Month>05</Month><Day>03</Day></DateCreated><DateCompleted><Year>2012</Year><Month>08</Month><Day>27</Day></DateCompleted><DateRevised><Year>2013</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-8550</ISSN><JournalIssue CitedMedium="Internet"><Volume>30</Volume><Issue>5</Issue><PubDate><Year>2012</Year><Month>May</Month></PubDate></JournalIssue><Title>Photomedicine and laser surgery</Title><ISOAbbreviation>Photomed Laser Surg</ISOAbbreviation></Journal><ArticleTitle>Neurosurgical applications of the 2-μm thulium laser: histological evaluation of meningiomas in comparison to bipolar forceps and an ultrasonic aspirator.</ArticleTitle><Pagination><MedlinePgn>286-92</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1089/pho.2011.3137</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The authors evaluated the histological effects of the 2-μm thulium laser on meningioma tissue, comparing them to the results obtained using bipolar forceps and an ultrasonic aspirator.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The authors analyzed nine samples of intracranial meningiomas. Four slices were obtained for every sample, and one incision was performed on each slice. Two incisions were made with a 2-μm thulium laser (one set to a 6 W and another set to a 12 W power level). One incision was made using a bipolar forceps and the other using an ultrasonic aspirator. Tissue was addressed and analyzed. Upon microscope analysis, three zones of laser action were identified: (A) a central crater; (B) a vaporized zone; and (C) a shrunken layer. These three layers were measured and compared.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">When addressed with the laser, all nine meningiomas presented a crater having an average depth of 1 mm. Three layers were clearly distinguished and measured: A (average depth: 0.8 mm at 6 W and 1.24 mm at 12 W); B (average depth: 0.32 mm at 6 W and 0.72 mm at 12 W); and C (average depth: 0.39 mm at 6 W and 0.44 mm at 12 W). On slices treated with bipolar forceps incisions, only zones B and C were identified. Ultrasonic aspirator incisions showed a deeper A zone (average depth: 2.93 mm), no B zone, and a tiny C zone (average depth: 0.16 mm).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Thulium laser can be safely used for the surgical removal of intracranial meningiomas; beyond 2 mm under the surface of action, no tissue alterations were found. The lesions produced on meningiomas were characterized by vaporization and shrinking. When compared with bipolar forceps, the thulium laser offers cutting precision and vaporization of the tissue. When compared to the cavitron ultrasonic surgical aspirator (CUSA), the laser offers shrinking and coagulation of small vessels.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Passacantilli</LastName><ForeName>Emiliano</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Neurological Sciences, Neurosurgery, University of Rome Sapienza, Rome, Italy. e.passacantilli@gmail</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Antonelli</LastName><ForeName>Manila</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>D'Amico</LastName><ForeName>Alberto</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Delfinis</LastName><ForeName>Catia P</ForeName><Initials>CP</Initials></Author><Author ValidYN="Y"><LastName>Anichini</LastName><ForeName>Giulio</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Lenzi</LastName><ForeName>Jacopo</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Santoro</LastName><ForeName>Antonio</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>03</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Photomed Laser Surg</MedlineTA><NlmUniqueID>101222340</NlmUniqueID><ISSNLinking>1549-5418</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>8RKC5ATI4P</RegistryNumber><NameOfSubstance UI="D013932">Thulium</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004598">Electrosurgery</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000295">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D053685">Laser Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008577">Meningeal Neoplasms</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName><QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008579">Meningioma</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName><QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013932">Thulium</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D014464">Ultrasonic Therapy</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="aheadofprint"><Year>2012</Year><Month>3</Month><Day>9</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>3</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>3</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>8</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1089/pho.2011.3137</ArticleId><ArticleId IdType="pubmed">22404558</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country><region><li>Latium</li></region><settlement><li>Rome</li></settlement></list><tree><noCountry><name sortKey="Anichini, Giulio" sort="Anichini, Giulio" uniqKey="Anichini G" first="Giulio" last="Anichini">Giulio Anichini</name><name sortKey="Antonelli, Manila" sort="Antonelli, Manila" uniqKey="Antonelli M" first="Manila" last="Antonelli">Manila Antonelli</name><name sortKey="D Amico, Alberto" sort="D Amico, Alberto" uniqKey="D Amico A" first="Alberto" last="D'Amico">Alberto D'Amico</name><name sortKey="Delfinis, Catia P" sort="Delfinis, Catia P" uniqKey="Delfinis C" first="Catia P" last="Delfinis">Catia P. Delfinis</name><name sortKey="Lenzi, Jacopo" sort="Lenzi, Jacopo" uniqKey="Lenzi J" first="Jacopo" last="Lenzi">Jacopo Lenzi</name><name sortKey="Santoro, Antonio" sort="Santoro, Antonio" uniqKey="Santoro A" first="Antonio" last="Santoro">Antonio Santoro</name></noCountry><country name="Italie"><region name="Latium"><name sortKey="Passacantilli, Emiliano" sort="Passacantilli, Emiliano" uniqKey="Passacantilli E" first="Emiliano" last="Passacantilli">Emiliano Passacantilli</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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