日本レーザー医学会誌
Online ISSN : 1881-1639
Print ISSN : 0288-6200
ISSN-L : 0288-6200
Nd-YAG-LASERの肝切除における肝の組織学的変化
山尾 哲彦比企 能樹小林 伸行前川 和彦高橋 俊毅大場 正己阿曽 弘一中 英男
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1982 年 3 巻 1 号 p. 523-528

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The effect of Nd-YAG-LASER: in liver surgery, especially in the treatment of hepatic tumor and injury, was investigated histopathologically in laboratory dogs and human clinical cases by means of laser scalpel. The device used was Molectron Model 8000 Nd-YAG-LASER. Hepatic substance affected by laser irradiation may be classified into 4 distinct layers according to the severity of histological change, i. e.
1) Vaporization layer 2) Coagulation necrosis layer 3) Acidophilic degeneration layer and VI) Edema layer.
Laser scalpel permits removal of tissue at low accumulated energy, hence causing lesser tissue damage. It ensures a shortening of the duration of operation with a consequent reduction of blood loss and is anticipated to have a wide range of application in surgical procedures.
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