Application of argon plasma coagulation in skin surgery

被引:28
作者
Brand, CU
Blum, A
Schlegel, A
Farin, G
Garbe, C
机构
[1] Univ Tubingen, Dept Dermatol, Sect Dermatol Oncol, D-72076 Tubingen, Germany
[2] Erbe Elektromed GmbH, Tubingen, Germany
[3] Univ Bern, Dermatol Clin, CH-3012 Bern, Switzerland
关键词
argon plasma coagulation; electrocoagulation; CO2; laser;
D O I
10.1159/000017988
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: Argon plasma coagulation (APC) is a noncontact electrosurgical technique which has been used in open surgery for about 20 years and in endoscopy for about 5 years. Objective: The aim of the present study was to provide preliminary results on the effect of this method in skin surgery. Methods: The effects of variations in gas flow, output power and coagulation times on the extent of the resulting skin coagulation zone were tested in a pig skin model. Furthermore, preliminary results were obtained from 48 patients. Results: The depth of the coagulation zone, which depends on the output power of the high-frequency (HF) generator and the application time, was examined clinically and histologically in 150 different pig skin coagulations. The maximum depth of the coagulation zone was 4 mm. Coagulation zones below 4 mm can be maintained by controlling the output power of the HF generator and/or the duration of application. Variations of argon flow did not influence the depth of the coagulation zone significantly, In preliminary clinical tests, 48 patients with common warts, senile hemangiomas and actinic keratoses were treated with APC, In all cases, APC was highly effective and easy to perform. No severe problems or complications were observed. The skin lesions were destroyed with minimal or no scarring and without damaging the surrounding tissue. Conclusion: In the present preliminary study, APC proved to be an effective treatment with well-controlled tissue destruction. Further clinical studies are required to evaluate the suitability and the indications of this method in the treatment of cutaneous lesions.
引用
收藏
页码:152 / 157
页数:6
相关论文
共 17 条
[1]   ELECTROSURGICAL DEBULKING OF OVARIAN-CANCER - A NEW TECHNIQUE USING THE ARGON BEAM COAGULATOR [J].
BRAND, E ;
PEARLMAN, N .
GYNECOLOGIC ONCOLOGY, 1990, 39 (02) :115-118
[2]   CARBON-DIOXIDE LASER-SURGERY FOR SKIN-DISEASE [J].
FAIRHURST, MV ;
ROENIGK, RK ;
BRODLAND, DG .
MAYO CLINIC PROCEEDINGS, 1992, 67 (01) :49-58
[3]  
Farin G, 1994, Endosc Surg Allied Technol, V2, P71
[4]   PAPILLOMAVIRUS IN THE VAPOR OF CARBON-DIOXIDE LASER-TREATED VERRUCAE [J].
GARDEN, JM ;
OBANION, MK ;
SHELNITZ, LS ;
PINSKI, KS ;
BAKUS, AD ;
REICHMANN, ME ;
SUNDBERG, JP .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1988, 259 (08) :1199-1202
[5]  
Grund K E, 1994, Endosc Surg Allied Technol, V2, P42
[6]   HIGHLY FLEXIBLE SELF-EXPANDING MESHED METAL STENTS FOR PALLIATION OF MALIGNANT ESOPHAGOGASTRIC OBSTRUCTION [J].
GRUND, KE ;
STOREK, D ;
BECKER, HD .
ENDOSCOPY, 1995, 27 (07) :486-494
[7]  
HACKER SM, 1993, POSTGRAD MED, V93, P101
[8]  
Lim J. T. E., 1994, Annals Academy of Medicine Singapore, V23, P52
[9]  
Nedwich J A, 1991, Australas J Dermatol, V32, P137, DOI 10.1111/j.1440-0960.1991.tb01777.x
[10]   USE OF THE CARBON-DIOXIDE LASER IN DERMATOLOGICAL SURGERY - A CLINICALLY RELEVANT UPDATE FOR 1993 [J].
OLBRICHT, SM .
JOURNAL OF DERMATOLOGIC SURGERY AND ONCOLOGY, 1993, 19 (04) :364-369