Air leak seal for lung dissection plane with diode laser irradiation: An ex vivo study

Maya Gotoh, Hisako Tokunaga, Kenji Kaneko, Tsunenori Arai

Research output: Chapter in Book/Report/Conference proceedingConference contribution

3 Citations (Scopus)

Abstract

In order to seal air leak from lung dissection plane in thoracotomy, we studied diode laser irradiation (wavelength: 810 nm) with surface stain of indocyanine green (ICG, peak absorption wavelength: 805 nm) ex vivo. In general, this air leak is sealed by suturing with weak tension and large margin of parenchyma. This suturing requires surgeon's skill and takes long time. Moreover, lung ventilatory performance is significantly impaired. Since laser tissue welding is novel method to adhere living tissue with thin thermally denatured attachment layer, we propose to seal the lung dissection plane with laser irradiation. Our aim of this study is to investigate the sealing mechanism as well as optimum condition to develop reliable laser sealing method for dissected lung plane in surgery, using practical laser-dye combination. Compartment of extracted porcine lung was prepared as a lung model, which volume was approximately 60 cm3. ICG solution (2.5 mg/ml) was applied to the dissection plane of this lung model with 1minute. The diode laser (power density: 8-40 W/cm2) irradiated to the plane, moving the laser spot with constant speed (v = 1mm/s). The heat degeneration depth and smoothness of the laser irradiated surface were observed by a microscope. When power density was over 24 W/cm2, heat degeneration depth was over 1.5 × 10-4 m. There were no pin holes on the surface and the air leak seemed to be sealed completely. We also evaluated the air leak by endotracheal pressure. In the case of above condition, the heat degeneration depth was the same that of previous reported result with CO2 laser.

Original languageEnglish
Title of host publicationOptical Interactions with Tissue and Cells XVIII
DOIs
Publication statusPublished - 2007 Apr 30
EventOptical Interactions with Tissue and Cells XVIII - San Jose, CA, United States
Duration: 2007 Jan 222007 Jan 24

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume6435
ISSN (Print)1605-7422

Other

OtherOptical Interactions with Tissue and Cells XVIII
CountryUnited States
CitySan Jose, CA
Period07/1/2207/1/24

Keywords

  • Air leak seal
  • Diode laser
  • Indocyanine green
  • Thoracotomy
  • Tissue welding

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging

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  • Cite this

    Gotoh, M., Tokunaga, H., Kaneko, K., & Arai, T. (2007). Air leak seal for lung dissection plane with diode laser irradiation: An ex vivo study. In Optical Interactions with Tissue and Cells XVIII [64350G] (Progress in Biomedical Optics and Imaging - Proceedings of SPIE; Vol. 6435). https://doi.org/10.1117/12.701476