Experimental Ablation of Emphysematous Rat Lung with Nd: YAG Laser: Lung Changes Studied by Histopathology and SEM

Tsutomu Akahane, Yoshimochi Kurokawa, Hiroshi Yaegashi, Susumu Satomi, Tohru Takahashi

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Laser ablation has been employed as a therapeutic measure for chronic pulmonary emphysema. As yet, however, its effect is not understood on firm pathological basis. We aimed to study, both histopathologically and using Scanning Electric Micrscopy (SEM), the changes produced by irradiation with contact Neodymium-yttrium aluminum garnet laser (Nd: YAG laser) in rat lungs with experimentally induced emphysema. Emphysema was produced in 34 rats by instilling elastase via airways. Eight weeks after the instillation, the emphysematous left lung was irradiated under thoracotomy with contact Nd: YAG laser at a power of 5 watts. The animals were sacrificed in acute as well as chronic phase for histopathological observation of lung and scanning electron microscopy. Laser caused necrotic and inflammatory changes in the subpleural zone of lung. Immediately after irradiation, the alveolar septa were destroyed as visualized by SEM, only leaving the elastic skeleton. In a chronic phase, the necrotic zone was collapsed and replaced with a thick fibrous scar which seemed to serve more or less to keep the organ from being excessively inflated. In this model, irradiation induces subpleural dense scarring, which, by "encasing" an emphysematous lung, is expected to more or less normalize the excessive compliance.

Original languageEnglish
Pages (from-to)119-129
Number of pages11
JournalTohoku Journal of Experimental Medicine
Volume185
Issue number2
DOIs
Publication statusPublished - 1998 Jun

Keywords

  • Experimental emphysema
  • Histopathology
  • Laser ablation
  • Scanning electron microscopy

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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