Laser Segmental Resection for Pulmonary Tumors

The laser plays a significant role in the lung parenchyma sparing resection for pulmonary neoplasms. The high performance Nd: YAG laser system emitting the 1318 nm wavelength exclusively up to a power of 120 W was used, consisting of the thin flexible quartz fibres (400 μm) with low water content and a four lens focusing handpiece. The Nd:YAG 1318 nm wavelength laser system enables thoracic surgeons to extend indication and include a larger number of patients in the treatment of pulmonary malignancies. This parenchyma sparing technique allows a removal of significantly higher number of lung nodules in comparison to conventional techniques (stapler, clamp resection). A description of the laser system, the technique of the laser segmental resection for primary and secondary tumors, together with an overview of our own experience is presented.