Holmium:YAG laser-induced liquid jet dissector: A novel prototype device for dissecting organs without impairing vessels

Takayuki Hirano, H. Uenohara, M. Komatsu, A. Nakagawa, M. Satoh, H. Ohyama, K. Takayama, T. Yoshimoto

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)

Abstract

Background and Objective: Neurosurgery has long required a method for dissecting brain tissue without damaging principal vessels and adjacent tissue, so as to prevent neurological complications after operation. In this study we fabricated such a prototype device and used it in an attempt to resect an animal liver, which, like the brain, contains many vessels. Materials and Methods: The prototype device consisted of a jet nozzle and a suction tube. Pulsed liquid jets at 3 Hz were ejected from the nozzle by a pulsed holmium: YAG (Ho: YAG) laser at an irradiation energy of 230 mJ/pulse. The profile of the liquid jet was observed with a high-speed camera. With this device, liver dissections of anesthetized rabbits were attempted while measuring the local temperature of the target. A histological study of the incised parts was also performed. Results: The liquid jet was emitted straight from the nozzle at an initial velocity of 38 m/sec. The liver parenchyma was cut with the device while preserving the tiny vessels and keeping the operative field clear. The local temperature rose to no more than 314 K (below the heat damage threshold of brain tissue). In the histological findings, there were no signs of hepatic degeneration or necrosis around the dissected margin. Conclusions: The Ho:YAG laser-induced liquid jet dissector can be applied to neurosurgical operations after incorporating some minor improvements.

Original languageEnglish
Pages (from-to)121-125
Number of pages5
JournalMinimally Invasive Neurosurgery
Volume46
Issue number2
DOIs
Publication statusPublished - 2003 Apr

Keywords

  • Holmium:YAG laser
  • Laser-induced liquid jet
  • Minimally invasive surgery
  • Tissue cutting

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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