Use of the argon surgical laser in neurosurgery

Restricted access

✓ The argon surgical laser has been used in 68 neurosurgical procedures that included the removal of intracranial and intraspinal tumors, spinal cord fenestration for syringomyelia, and the production of dorsal root entry zone lesions. Characteristics that make the argon surgical laser a useful microneurosurgical instrument include the availability of a fiberoptic delivery system, a laser spot size that can be varied continuously between 0.15 and 1.5 mm, a single laser-aiming and treatment beam, the transmission of argon laser light through aqueous media such as irrigating or cerebrospinal fluids, and improved hemostasis compared to conventional techniques. The argon laser is limited primarily by its relatively low power output (less than 16 W), which makes the excision of large tumors difficult. However, even with these limitations, which can be used to advantage in the proper setting, the authors' laboratory and clinical experience suggests that the argon surgical laser may be useful in certain microneurosurgical operations.

Article Information

Address reprint requests to: Michael S. B. Edwards, M.D., % The Editorial Office, Department of Neurological Surgery, 350 Parnassus Avenue, Suite 807, San Francisco, California 94117.

© AANS, except where prohibited by US copyright law.

Headings

References

1.

Apfelberg DBKosek JMaser MRet al: Histology of port wine stains following laser treatment. Br J Plast Surg 32:2322371979Apfelberg DB Kosek J Maser MR et al: Histology of port wine stains following laser treatment. Br J Plast Surg 32:232–237 1979

2.

Apfelberg DBMaser MRLash H: Argon laser treatment of decorative tattoos. Br J Plast Surg 32:1411441979Apfelberg DB Maser MR Lash H: Argon laser treatment of decorative tattoos. Br J Plast Surg 32:141–144 1979

3.

Apfelberg DBMaser MRLash H: Extended clinical use of the argon laser for cutaneous lesions. Arch Dermatol 115:7197211979Apfelberg DB Maser MR Lash H: Extended clinical use of the argon laser for cutaneous lesions. Arch Dermatol 115:719–721 1979

4.

Barnes FS: Biological damage resulting from thermal pulses in Wolbarsht ML (ed): Laser Applications in Medicine and Biology. New York: Plenum Press1974 Vol 2 pp 205221Barnes FS: Biological damage resulting from thermal pulses in Wolbarsht ML (ed): Laser Applications in Medicine and Biology. New York: Plenum Press 1974 Vol 2 pp 205–221

5.

Bartal ADHeilbronn YDAvram Jet al: Carbon dioxide laser surgery of basal meningiomas. Surg Neurol 17:90951982Bartal AD Heilbronn YD Avram J et al: Carbon dioxide laser surgery of basal meningiomas. Surg Neurol 17:90–95 1982

6.

Beck OJ: The use of the Nd-YAG and the CO2 laser in neurosurgery. Neurosurg Rev 3:2612661980Beck OJ: The use of the Nd-YAG and the CO2 laser in neurosurgery. Neurosurg Rev 3:261–266 1980

7.

Boggan JEEdwards MSBDavis RLet al: Comparison of the brain tissue response in rats to injury by argon and carbon dioxide lasers. Neurosurgery 11:6096161982Boggan JE Edwards MSB Davis RL et al: Comparison of the brain tissue response in rats to injury by argon and carbon dioxide lasers. Neurosurgery 11:609–616 1982

8.

Bown SGStorey DWSwain Pet al: Controlled trial of argon laser photocoagulation for haemorrhage from peptic ulcers. Gut 22:A4141981 (Abstract)Bown SG Storey DW Swain P et al: Controlled trial of argon laser photocoagulation for haemorrhage from peptic ulcers. Gut 22:A414 1981 (Abstract)

9.

DiBartolomeo JREllis M: The argon laser in otology. Laryngoscope 90:178617961980DiBartolomeo JR Ellis M: The argon laser in otology. Laryngoscope 90:1786–1796 1980

10.

Dougherty TJ: Photoradiation therapy for bronchogenic cancer. Chest 81:2652661982Dougherty TJ: Photoradiation therapy for bronchogenic cancer. Chest 81:265–266 1982

11.

Escudero LHCastro AODrumond Met al: Argon laser in human tympanoplasty. Arch Otolaryngol 105:2522531979Escudero LH Castro AO Drumond M et al: Argon laser in human tympanoplasty. Arch Otolaryngol 105:252–253 1979

12.

Glasscock ME IIIJackson CGWhitaker SR: The argon laser in acoustic tumor surgery. Laryngoscope 91:140514161981Glasscock ME III Jackson CG Whitaker SR: The argon laser in acoustic tumor surgery. Laryngoscope 91:1405–1416 1981

13.

Hobeika CPRockwell RJ Jr: Argon laser microsurgery: its advantages and applications in otolaryngology. Laryngoscope 83:9609651973Hobeika CP Rockwell RJ Jr: Argon laser microsurgery: its advantages and applications in otolaryngology. Laryngoscope 83:960–965 1973

14.

Kelly PJAlker GJ Jr: A stereotactic approach to deep-seated central nervous system neoplasms using the carbon dioxide laser. Surg Neurol 15:3313341981Kelly PJ Alker GJ Jr: A stereotactic approach to deep-seated central nervous system neoplasms using the carbon dioxide laser. Surg Neurol 15:331–334 1981

15.

Kelly PJAlker GJ JrGoerss S: Computer-assisted stereotactic laser microsurgery for the treatment of intracranial neoplasms. Neurosurgery 10:3243311982Kelly PJ Alker GJ Jr Goerss S: Computer-assisted stereotactic laser microsurgery for the treatment of intracranial neoplasms. Neurosurgery 10:324–331 1982

16.

KellyPJAlker GJJrZoll JG: A microstereotactic approach to deep-seated arteriovenous malformations. Surg Neurol 17:2602621982Kelly PJ Alker GJ Jr Zoll JG: A microstereotactic approach to deep-seated arteriovenous malformations. Surg Neurol 17:260–262 1982

17.

Nashold BS JrOstdahl RH: Dorsal root entry zone lesions for pain relief. J Neurosurg 51:59691979Nashold BS Jr Ostdahl RH: Dorsal root entry zone lesions for pain relief. J Neurosurg 51:59–69 1979

18.

Nishiura IHanda HYamashita Jet al: Successful removal of a huge falcotentorial meningioma by use of the laser. Surg Neurol 16:3803851981Nishiura I Handa H Yamashita J et al: Successful removal of a huge falcotentorial meningioma by use of the laser. Surg Neurol 16:380–385 1981

19.

Perkins RC: Laser stapedotomy for otosclerosis. Laryngoscope 90:2282411980Perkins RC: Laser stapedotomy for otosclerosis. Laryngoscope 90:228–241 1980

20.

Rothauge CF: Urethroscopic recanalization of urethral stenosis using argon laser. Urology 16:1581611980Rothauge CF: Urethroscopic recanalization of urethral stenosis using argon laser. Urology 16:158–161 1980

21.

Strait TARobertson JHClark WC: Use of the carbon dioxide laser in the operative management of intracranial meningiomas: a report of twenty cases. Neurosurgery 10:4644671982Strait TA Robertson JH Clark WC: Use of the carbon dioxide laser in the operative management of intracranial meningiomas: a report of twenty cases. Neurosurgery 10:464–467 1982

22.

Swain CPBown SGStorey DWet al: Controlled trial of argon laser photocoagulation in bleeding peptic ulcers. Lancet 2:131313161981Swain CP Bown SG Storey DW et al: Controlled trial of argon laser photocoagulation in bleeding peptic ulcers. Lancet 2:1313–1316 1981

23.

Zweng HCFlocks M: Clinical experiences with laser photocoagulation. Fed Proc 24 (Suppl 14):65701965Zweng HC Flocks M: Clinical experiences with laser photocoagulation. Fed Proc 24 (Suppl 14):65–70 1965

24.

Zweng HCLittle HL: Argon laser photocoagulation in the treatment of disc new vessels in diabetic retinopathy. Aust J Ophthalmol 1:1011041973Zweng HC Little HL: Argon laser photocoagulation in the treatment of disc new vessels in diabetic retinopathy. Aust J Ophthalmol 1:101–104 1973

TrendMD

Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 60 60 29
Full Text Views 313 313 92
PDF Downloads 81 81 7
EPUB Downloads 0 0 0

PubMed

Google Scholar