Application of a 980-nanometer diode laser in neuroendoscopy: a case series

作者：Reis Rodolfo Casimiro^*; Teixeira Manoel Jacobsen; Mancini Marilia Wellichan; Almeida Lopes Luciana; de Oliveira Matheus Fernandes; Gomes Pinto Fernando Campos

来源：Journal of Neurosurgery, 2016, 124(2): 368-374.

DOI：10.3171/2014.12.JNS141561

• laser
• neuroendoscopy
• hydrocephalus
• surgical technique

OBJECTIVE Ventricular neuroendoscopy represents an important advance in the treatment of hydrocephalus. High power (surgical) Nd:YAG laser and low-level laser therapy (using 685-nm-wavelength diode laser) have been used in conjunction with neuroendoscopy with favorable results. This study evaluated the use of surgical 980-nm-wavelength diode laser for the neuroendoscopic treatment of ventricular diseases.
METHODS Nine patients underwent a neuroendoscopic procedure with 980-nm diode laser. Complications and follow-p were recorded.
RESULTS Three in-hospital postoperative complications were recorded (1 intraventricular hemorrhage and 2 meningitis cases). The remaining 6 patients had symptom improvement after endoscopic surgery and were discharged from the hospital within 24-48 hours after surgery. Patients were followed for an average of 14 months: 1 patient developed meningitis and another died suddenly at home. The other patients did well and were asymptomatic until the last follow-up consultation.
CONCLUSIONS The 980-nm diode laser is considered an important therapeutic tool for endoscopic neurological surgeries. This study showed its application in different ventricular diseases.

• 出版日期2016-2