New technologies and future applications of surgical lasers. The right tool for the right job.

The real future of surgical lasers, and indeed of surgery itself, will depend on the integration of the surgeon into a system incorporating real-time tissue sensors, computer-directed robotic manipulation, and laser-tissue interactions that are customized to the clinical task. The human surgeon will operate as the central judgmental element in this mechanized and semiautomated laser surgical system. Only then will we really be able to make use of the subtle and varied laser-tissue effects now being discovered.

[1]  M C Oz,et al.  Reinforcement of colonic anastomoses with a laser and dye-enhanced fibrinogen. , 1990, Archives of surgery.

[2]  W S Grundfest,et al.  Percutaneous excimer laser coronary angioplasty. , 1990, The American journal of cardiology.

[3]  V. Jeevanandam,et al.  Laser activation of tissue sealant in hand-sewn canine esophageal closure. , 1992, The Journal of thoracic and cardiovascular surgery.

[4]  K. P. McGuire,et al.  The first sutureless, laser‐welded, end‐to‐end bowel anastomosis , 1989, Lasers in surgery and medicine.

[5]  M. Mirhoseini,et al.  Revascularization of the heart by laser , 1981, Journal of microsurgery.

[6]  Mehmet C. Oz,et al.  Initial clinical experience with the THC:YAG laser in gastrointestinal endoscopy , 1990, Photonics West - Lasers and Applications in Science and Engineering.

[7]  J Wollensak,et al.  [Laser surgery of the cornea]. , 1987, Fortschritte der Ophthalmologie : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft.

[8]  M. Treat,et al.  Preliminary evaluation of a pulsed 2.15‐μm laser system for fiberoptic endoscopic surgery , 1988, Lasers in surgery and medicine.

[9]  D. Poppas,et al.  Laser welding in urethral surgery: improved results with a protein solder. , 1988, The Journal of urology.

[10]  R. F. Bonner,et al.  Quantification Of Tissue Effects Due To A Pulsed Er:Yag Laser At 2.9 μm With Beam Delivery In A Wet Field Via Zirconium Fluoride Fibers , 1987, Other Conferences.

[11]  M C Oz,et al.  Strength of laser vascular fusion: Preliminary observations on the role of thrombus , 1990, Lasers in surgery and medicine.

[12]  L. Deckelbaum,et al.  Discrimination of normal and atherosclerotic aorta by laser‐induced fluorescence , 1987, Lasers in surgery and medicine.

[13]  L. Deckelbaum,et al.  Design and evaluation of a fiberoptic fluorescence guided laser recanalization system , 1991, Lasers in surgery and medicine.

[14]  Michael R. Treat,et al.  Indocyanine Green Dye Enhanced Vascular Welding With the Near Infrared Diode Laser , 1990 .

[15]  A. Greenfield Hot‐Tip Laser: Results and Complications , 1991, Circulation.

[16]  Jason C. Fisher,et al.  Myocardial Revascularization by Laser: A Clinical Report , 1983, Lasers in surgery and medicine.

[17]  Douglas K. Dew,et al.  Review and status report on laser tissue sealing: 1990 , 1990, Photonics West - Lasers and Applications in Science and Engineering.

[18]  M R Treat,et al.  Sutureless microvascular anastomosis using the THC:YAG laser: A preliminary report , 1989, Microsurgery.

[19]  R. Anderson,et al.  Pulsed CO2 laser tissue ablation: Effect of tissue type and pulse duration on thermal damage , 1988, Lasers in surgery and medicine.

[20]  R. Schober,et al.  Laser-induced alteration of collagen substructure allows microsurgical tissue welding. , 1986, Science.

[21]  F. Marchlinski,et al.  Value of ventricular electrogram recordings in the diagnosis of arrhythmias precipitating electrical device shock therapy. , 1991, Journal of the American College of Cardiology.

[22]  J. Walsh,et al.  Pulsed CO2 laser tissue ablation: Measurement of the ablation rate , 1988, Lasers in surgery and medicine.

[23]  M. Oz,et al.  A fiberoptic compatible midinfrared laser with CO2 laser-like effect: application to atherosclerosis. , 1989, The Journal of surgical research.

[24]  N. Nishioka,et al.  Pulsed carbon dioxide laser ablation of burned skin: In vitro and in vivo analysis , 1990, Lasers in surgery and medicine.

[25]  P. Williamson,et al.  Presence of human immunodeficiency virus DNA in laser smoke , 1991, Lasers in surgery and medicine.

[26]  A. Blitzer,et al.  Soft Tissue Effects of the THC:YAG Laser on Canine Vocal Cords , 1992, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[27]  Richard C. Straight,et al.  Biological consequences of fiber fragmentation with pulsed laser lithotripsy , 1990, Photonics West - Lasers and Applications in Science and Engineering.

[28]  W. Grundfest,et al.  Fragmentation of biliary stones with a 308 nm excimer laser , 1990, Lasers in surgery and medicine.

[29]  Chukuka S. Enwemeka,et al.  Morphometrics of Collagen Fibril Populations in He:Ne Laser Photostimulated Tendons , 1990 .

[30]  R. F. Donaldson,et al.  Use of pulsed energy delivery to minimize tissue injury resulting from carbon dioxide laser irradiation of cardiovascular tissues. , 1986, Journal of the American College of Cardiology.

[31]  W S Grundfest,et al.  Pulsed ultraviolet lasers and the potential for safe laser angioplasty. , 1985, American journal of surgery.

[32]  M. Okada,et al.  An alternative method of vascular anastomosis by laser: Experimental and clinical study , 1987, Lasers in surgery and medicine.

[33]  J. Curcio,et al.  Near infrared absorption spectrum of liquid water , 1951 .

[34]  J. Cunningham,et al.  Enhancement of CO2 laser microvascular anastomoses by fibrin glue. , 1988, The Journal of surgical research.

[35]  J. Uitto,et al.  Argon laser-welded arteriovenous anastomoses. , 1987, Journal of vascular surgery.

[36]  J. Fisher,et al.  Clinical report: Laser myocardial revascularization , 1986 .

[37]  G. M. Lemole,et al.  Preliminary evaluation of collagen as a component in the thermally induced 'weld' , 1991, Photonics West - Lasers and Applications in Science and Engineering.

[38]  Mehmet C. Oz,et al.  Electrophoretic mobility patterns of collagen following laser welding , 1991, Photonics West - Lasers and Applications in Science and Engineering.

[39]  Carmen A. Puliafito,et al.  The Nd-YAG Laser in Ophthalmology: Principles and Clinical Applications of Photodisruption , 1985 .

[40]  M Mirhoseini,et al.  New concepts in revascularization of the myocardium. , 1988, The Annals of thoracic surgery.

[41]  A. Shanberg,et al.  Laser-assisted vasectomy reversal: experience in 32 patients. , 1990, The Journal of urology.

[42]  Rodney A. White,et al.  Intravascular ultrasound guided Holmium:YAG laser recanalization of occluded arteries , 1992, Lasers in surgery and medicine.

[43]  Ludwik Jerzy Pokora Excimer and excimer-dye laser systems for medical applications , 1990, Photonics West - Lasers and Applications in Science and Engineering.

[44]  R.R. Anderson,et al.  Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. , 1983, Science.

[45]  Tung Mei Hsu,et al.  Laser-assisted skin closure at 1.32 microns: the use of a software-driven medical laser system , 1991, Photonics West - Lasers and Applications in Science and Engineering.

[46]  C. Ell,et al.  Laser-induced Shockwave Lithotripsy of Gallstones , 1986, Endoscopy.

[47]  Ralf Brinkmann,et al.  Laser-induced shockwave lithotripsy by use of a 1-μs Alexandrite laser , 1990, Photonics West - Lasers and Applications in Science and Engineering.

[48]  J. Zigler,et al.  Cross-linking of lens crystallins in a photodynamic system: a process mediated by singlet oxygen. , 1980, Science.

[49]  C. Wright,et al.  Molecular surgery of the basement membrane by the argon laser , 1990, Lasers in surgery and medicine.

[50]  V. Fuster,et al.  Acute biologic response to excimer versus thermal laser angioplasty in experimental atherosclerosis. , 1991, Journal of the American College of Cardiology.

[51]  M C Oz,et al.  Dye‐enhanced laser tissue welding , 1989, Lasers in surgery and medicine.

[52]  R. Linsker,et al.  Far‐ultraviolet laser ablation of atherosclerotic lesions , 1984, Lasers in surgery and medicine.

[53]  Rodney A. White,et al.  Crosslinking of extracellular matrix proteins: A preliminary report on a possible mechanism of argon laser welding , 1989, Lasers in surgery and medicine.

[54]  S. Trokel,et al.  Excimer laser surgery of the cornea. , 1983, American journal of ophthalmology.

[55]  Mehmet C. Oz,et al.  Laparoscopic applications of laser-activated tissue glues , 1991, Photonics West - Lasers and Applications in Science and Engineering.

[56]  A. Welch,et al.  The thermal response of laser irradiated tissue , 1984, IEEE Journal of Quantum Electronics.

[57]  M. Cremona,et al.  Alexandrite laser and blind lithotripsy: initial experience--first clinical results , 1991, Photonics West - Lasers and Applications in Science and Engineering.

[58]  M C Oz,et al.  Tissue soldering by use of indocyanine green dye-enhanced fibrinogen with the near infrared diode laser. , 1990, Journal of vascular surgery.

[59]  R Birngruber,et al.  Picosecond optical breakdown: Tissue effects and reduction of collateral damage , 1989, Lasers in surgery and medicine.

[60]  J. Parrish,et al.  The pulsed dye laser for fragmenting urinary calculi. , 1987, The Journal of urology.

[61]  Kurt Miller,et al.  Experimental and first clinical results with the alexandrite laser lithotripter , 1991, Photonics West - Lasers and Applications in Science and Engineering.

[62]  Mehmet C. Oz,et al.  Preliminary experience with laser reinforcement of vascular anastomoses , 1991, Photonics West - Lasers and Applications in Science and Engineering.