Laser Vaporization of Inoperable Esophageal and Rectal Cancer. Why We Use this Therapy
Journal of Surgery
Volume 3, Issue 1, February 2015, Pages: 4-7
Received: Nov. 3, 2014; Accepted: Dec. 12, 2014; Published: Jan. 23, 2015
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Authors
Leszek Stefanski, Department of Gastrointestinal Tract Surgery, Medical University of Silesia, Central Teaching Hospital, 14, Medyków Street, 40-752 Katowice, Poland
Pawel Lampe, The Higher School of Strategic Planning, 6 Koscielna Street, 41-303 Dobrowa Gornicza, Poland
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Abstract
Laser therapy of esophageal or rectal cancer gives opportunity to withdraw temporarily symptoms of dysphagia or obstruction due to immediate vaporization of exophytic part of neoplastic tumor and exfoliation of coagulated deeper tissue. This therapy improves life comfort of patients suffering from esophageal and rectal cancer in cases when radical therapy is impossible. 58 laser vaporization of esophageal cancer in inoperable patients with ASA IV and V were performed from January 2008 to October 2011. 42 suffered from squamous-cell cancer, 16 – from esophageal adenocarcinoma localized endoscopically from 20 to 40 cm, administering 2 – 9 kJ of heat. Also 18 laser vaporisations of rectal cancer were performed, administering 4 - 18 kJ of heat. 1,6 sessions (1-5 sessions) with high-energy laser were performed on average, adjusting laser power for 70 W and performing photo-destruction of the esophageal neoplastic tumor with mortality of 2%. The average for rectal cancer were 1,1 sessions (1-2) with time asymptomatic of subileus from 8 to 33 months, mortality 5,5%. Laser vaporisation of gastrointestinal tract lesions is: 1. Alternative action in relation to other procedures regarding restoration of patency of the esophagus and the rectum in inoperable patients; 2. It is distinguished by short hospitalization time and low complications rate.
Keywords
Esophageal Cancer, Rectal Cancer, Laser Vaporisation
To cite this article
Leszek Stefanski, Pawel Lampe, Laser Vaporization of Inoperable Esophageal and Rectal Cancer. Why We Use this Therapy, Journal of Surgery. Vol. 3, No. 1, 2015, pp. 4-7. doi: 10.11648/j.js.20150301.12
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