Thoracoscopic CO laser coagulation shrinkage of blebs in treatment of spontaneous pneumothorax

Koji Sensaki M.D.; Tsunenori Arai; Keiichi Kikuchi; Keigo Takagi; Susumu Tanaka M.D.; Makoto Kikuchi

doi:10.1117/12.137342

1 June 1992 Thoracoscopic CO laser coagulation shrinkage of blebs in treatment of spontaneous pneumothorax

Koji Sensaki M.D., Tsunenori Arai, Keiichi Kikuchi, Keigo Takagi, Susumu Tanaka M.D., Makoto Kikuchi

Proceedings Volume 1643, Laser Surgery: Advanced Characterization, Therapeutics, and Systems III; (1992) https://doi.org/10.1117/12.137342
Event: OE/LASE '92, 1992, Los Angeles, CA, United States

Abstract

Spontaneous pneumothorax is a common disease in young people. Operative intervention has been done in most of the recurrent cases. Recently thoracoscopic treatment has been tested as a less invasive treatment modarity. We adopted carbon monoxide (CO) laser for thoracoscopic treatment of recurrent spontaneous pneumothorax. CO laser (wavelength; 5.4 micrometers ) could be delivered by chalcogenide glass (As - S) covered with a teflon sheath and ZnSe fiber tip. The sterilized flexible bronchoscope was inserted through the thoracoscopic outer sheath under local anesthesia. Shrinkage of blebs was obtained by non-contact method of CO laser irradiation. Laser power at the tip was 2.5 - 5 W and irradiation duration was 0.5 s each. Excellent shrinkage of bleb and bulla could be obtained by CO laser without perforation complication. Advantages of CO laser as a thoracoscopic treatment were: (1) capability of fiber delivery (flexible thoracoscopy was easy to operate and clear to visualize the blebs which were frequently found at the apical portion of the lung, and (2) shallow extinction length (good shrinkage of blebs, low risk of perforation, and thin layer of carbonization). In conclusion, our new technique of thoracoscopic CO laser irradiation was found to be a safe and effective treatment of spontaneous pneumothorax.

Citation Download Citation

Koji Sensaki M.D., Tsunenori Arai, Keiichi Kikuchi, Keigo Takagi, Susumu Tanaka M.D., and Makoto Kikuchi "Thoracoscopic CO laser coagulation shrinkage of blebs in treatment of spontaneous pneumothorax", Proc. SPIE 1643, Laser Surgery: Advanced Characterization, Therapeutics, and Systems III, (1 June 1992); https://doi.org/10.1117/12.137342

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