Safety and Efficacy of 980nm Diode Laser for Brain Tumor Microsurgery-A Pioneer Case Series.

Autor: Campos Paiva AL; Department of Neurosurgery at Santa Casa de São Paulo School of Medical Sciences, Fellow in Functional Neurosurgery and Radiosurgery HCoR, MsC at Santa Casa de São Paulo, São Paulo, Brazil. Electronic address: lariessy@hotmail.com., Vitorino Araujo JL; Department of Neurosurgery at Santa Casa de São Paulo School of Medical Sciences, Fellow in Functional Neurosurgery and Radiosurgery HCoR, MsC at Santa Casa de São Paulo, São Paulo, Brazil; Hospital Sirio Libanês, Hospital Israelita Albert Einstein and Oncocenter, São Paulo, Brazil., Lovato RM; Department of Neurosurgery at Santa Casa de São Paulo School of Medical Sciences, Fellow in Functional Neurosurgery and Radiosurgery HCoR, MsC at Santa Casa de São Paulo, São Paulo, Brazil., Esteves Veiga JC; Department of Neurosurgery at Santa Casa de São Paulo School of Medical Sciences, Fellow in Functional Neurosurgery and Radiosurgery HCoR, MsC at Santa Casa de São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2021 Feb; Vol. 146, pp. e461-e466. Date of Electronic Publication: 2020 Oct 24.
DOI: 10.1016/j.wneu.2020.10.113
Abstrakt: Background: Quality of life is essential for oncologic patients. Several tools are available to improve microsurgery and reduce morbidity. Diode laser is a precise and useful technology for microsurgery. The goal of this pioneer case series is to describe the oncologic use of the 980nm diode laser and the qualitative variables analyzed. Besides, review the current literature about lasers in neurosurgery.
Methods: A longitudinal prospective study described patients with meningioma or glioma submitted to neurosurgical laser-assisted procedures. Also, we performed a review in medical databases using the terms "diode laser" and "neurosurgery."
Results: No paper described the use of a diode laser in neurooncology. The 980nm diode laser was used in 15 patients. The device is thin, silent, and easy to handle. Excellent hemostasis was observed, especially in skull base meningiomas. Also, it was easy and fast to delimit tumor from normal brain tissue without damage to surrounding parenchyma. No postoperative complications occurred.
Conclusions: The diode laser is a useful tool for brain tumor surgery, particularly concerning hemostasis. Surgical site coagulation is effective without damage to adjacent structures, especially in gliomas near eloquent regions. We consider this technique a suitable adjuvant resource for brain tumor surgeries to provide an excellent hemostasis and help cut and vaporize a lesion.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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