Pulmonary resections: cytostructural effects of different-wavelength lasers versus electrocautery.
Identifieur interne : 000374 ( PubMed/Corpus ); précédent : 000373; suivant : 000375Pulmonary resections: cytostructural effects of different-wavelength lasers versus electrocautery.
Auteurs : Paolo Scanagatta ; Giuseppe Pelosi ; Francesco Leo ; Simone Furia ; Leonardo Duranti ; Alessandra Fabbri ; Aldo Manfrini ; Antonello Villa ; Barbara Vergani ; Ugo PastorinoSource :
- Tumori [ 2038-2529 ]
English descriptors
- KwdEn :
- Adult, Aged, Electrocoagulation (adverse effects), Female, Humans, Laser Therapy (adverse effects), Lung Neoplasms (surgery), Male, Microscopy, Electron, Middle Aged, Neodymium, Pneumonectomy (adverse effects), Pneumonectomy (instrumentation), Pulmonary Alveoli (injuries), Pulmonary Alveoli (surgery), Reproducibility of Results, Surgical Instruments (adverse effects), Thulium, Treatment Outcome.
- MESH :
- chemical : Neodymium, Thulium.
- adverse effects : Electrocoagulation, Laser Therapy, Pneumonectomy, Surgical Instruments.
- injuries : Pulmonary Alveoli.
- instrumentation : Pneumonectomy.
- surgery : Lung Neoplasms, Pulmonary Alveoli.
- Adult, Aged, Female, Humans, Male, Microscopy, Electron, Middle Aged, Reproducibility of Results, Treatment Outcome.
Abstract
There are few papers on the cytostructural effects of surgical instruments used during pulmonary resections. The aim of the present study was to evaluate the parenchymal damage caused by different surgical instruments: a new generation electrosurgical scalpel and two different-wavelength lasers.
DOI: 10.1700/1053.11505
PubMed: 22495707
Links to Exploration step
pubmed:22495707Le document en format XML
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<author><name sortKey="Scanagatta, Paolo" sort="Scanagatta, Paolo" uniqKey="Scanagatta P" first="Paolo" last="Scanagatta">Paolo Scanagatta</name>
<affiliation><nlm:affiliation>Fondazione IRCCS National Cancer Institute, Milan, Italy. paolo.scanagatta@istitutotumori.mi.it</nlm:affiliation>
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<author><name sortKey="Pelosi, Giuseppe" sort="Pelosi, Giuseppe" uniqKey="Pelosi G" first="Giuseppe" last="Pelosi">Giuseppe Pelosi</name>
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<author><name sortKey="Leo, Francesco" sort="Leo, Francesco" uniqKey="Leo F" first="Francesco" last="Leo">Francesco Leo</name>
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<author><name sortKey="Furia, Simone" sort="Furia, Simone" uniqKey="Furia S" first="Simone" last="Furia">Simone Furia</name>
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<author><name sortKey="Duranti, Leonardo" sort="Duranti, Leonardo" uniqKey="Duranti L" first="Leonardo" last="Duranti">Leonardo Duranti</name>
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<author><name sortKey="Fabbri, Alessandra" sort="Fabbri, Alessandra" uniqKey="Fabbri A" first="Alessandra" last="Fabbri">Alessandra Fabbri</name>
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<author><name sortKey="Manfrini, Aldo" sort="Manfrini, Aldo" uniqKey="Manfrini A" first="Aldo" last="Manfrini">Aldo Manfrini</name>
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<author><name sortKey="Villa, Antonello" sort="Villa, Antonello" uniqKey="Villa A" first="Antonello" last="Villa">Antonello Villa</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Pulmonary resections: cytostructural effects of different-wavelength lasers versus electrocautery.</title>
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<term>Aged</term>
<term>Electrocoagulation (adverse effects)</term>
<term>Female</term>
<term>Humans</term>
<term>Laser Therapy (adverse effects)</term>
<term>Lung Neoplasms (surgery)</term>
<term>Male</term>
<term>Microscopy, Electron</term>
<term>Middle Aged</term>
<term>Neodymium</term>
<term>Pneumonectomy (adverse effects)</term>
<term>Pneumonectomy (instrumentation)</term>
<term>Pulmonary Alveoli (injuries)</term>
<term>Pulmonary Alveoli (surgery)</term>
<term>Reproducibility of Results</term>
<term>Surgical Instruments (adverse effects)</term>
<term>Thulium</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Neodymium</term>
<term>Thulium</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Electrocoagulation</term>
<term>Laser Therapy</term>
<term>Pneumonectomy</term>
<term>Surgical Instruments</term>
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<keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Pulmonary Alveoli</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Pneumonectomy</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lung Neoplasms</term>
<term>Pulmonary Alveoli</term>
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<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Microscopy, Electron</term>
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<front><div type="abstract" xml:lang="en">There are few papers on the cytostructural effects of surgical instruments used during pulmonary resections. The aim of the present study was to evaluate the parenchymal damage caused by different surgical instruments: a new generation electrosurgical scalpel and two different-wavelength lasers.</div>
</front>
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<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">22495707</PMID>
<DateCreated><Year>2012</Year>
<Month>04</Month>
<Day>12</Day>
</DateCreated>
<DateCompleted><Year>2012</Year>
<Month>07</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised><Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2038-2529</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>98</Volume>
<Issue>1</Issue>
<PubDate><MedlineDate>2012 Jan-Feb</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Tumori</Title>
<ISOAbbreviation>Tumori</ISOAbbreviation>
</Journal>
<ArticleTitle>Pulmonary resections: cytostructural effects of different-wavelength lasers versus electrocautery.</ArticleTitle>
<Pagination><MedlinePgn>90-3</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1700/1053.11505</ELocationID>
<Abstract><AbstractText Label="AIMS AND BACKGROUND" NlmCategory="OBJECTIVE">There are few papers on the cytostructural effects of surgical instruments used during pulmonary resections. The aim of the present study was to evaluate the parenchymal damage caused by different surgical instruments: a new generation electrosurgical scalpel and two different-wavelength lasers.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Six surgical procedures of pulmonary resection for nodules were performed using a new generation electrosurgical scalpel, a 1318 nm neodymium (Nd:YAG) laser or a 2010 nm thulium laser (two procedures for each instrument). Specimens were analyzed using optical microscopy and scansion electronic microscopy.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Severe cytostructural damage was found to be present in an average of 1.25 mm in depth from the cutting surface in the patients treated using electrosurgical cautery. The depth of this zone dropped to less than 1 mm in patients treated by laser, being as small as 0.2 mm using the laser with a 2010 nm-wavelength and 0.6 mm with the 1318 nm-wavelength laser.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">These preliminary findings support the use of laser to perform conservative pulmonary resections (i.e., metastasectomies), since it is more likely to avoid damage to surrounding structures. Controlled randomized trials are needed to support the clinical usefulness and feasibility of new types of lasers for pulmonary resections.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Scanagatta</LastName>
<ForeName>Paolo</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Fondazione IRCCS National Cancer Institute, Milan, Italy. paolo.scanagatta@istitutotumori.mi.it</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pelosi</LastName>
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<Initials>G</Initials>
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<Author ValidYN="Y"><LastName>Leo</LastName>
<ForeName>Francesco</ForeName>
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<Author ValidYN="Y"><LastName>Furia</LastName>
<ForeName>Simone</ForeName>
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<Author ValidYN="Y"><LastName>Duranti</LastName>
<ForeName>Leonardo</ForeName>
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<Author ValidYN="Y"><LastName>Fabbri</LastName>
<ForeName>Alessandra</ForeName>
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<Author ValidYN="Y"><LastName>Manfrini</LastName>
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<Author ValidYN="Y"><LastName>Villa</LastName>
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<ChemicalList><Chemical><RegistryNumber>2I87U3734A</RegistryNumber>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D053685">Laser Therapy</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008175">Lung Neoplasms</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D009354">Neodymium</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011650">Pulmonary Alveoli</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000293">injuries</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D015203">Reproducibility of Results</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013525">Surgical Instruments</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013932">Thulium</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName>
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