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December 1986

Neodymium-YAG LaserA New Palliative Tool in the Treatment of Colorectal Cancer

Author Affiliations

From the Department of Surgery (Dr Russin) and the Division of Gastroenterology (Drs Kaplan, Goldberg, and Barkin), Mount Sinai Medical Center, Miami.

Arch Surg. 1986;121(12):1399-1403. doi:10.1001/archsurg.1986.01400120045007

• Twenty-four patients with colorectal carcinoma and one patient with a recurrent, transitional-cell, vesical tumor invading the rectum but not amenable to surgical resection underwent neodymium-YAG laser therapy. There were 16 men and nine women with an average age of 75.6 years (range, 35 to 93 years). There were 14,6,1,1, and 3 tumors found in the rectum, rectosigmoid colon, transverse colon, descending colon, and ascending colon, respectively. Symptoms consisted of bleeding or partial obstruction. Twelve patients were high-risk surgical candidates, 11 patients had widespread disease, and two patients had another primary tumor not controlled by a previous surgical procedure. The tumor was eradicated in two patients. There were two complications, namely, a perforation and a rectovaginal fistula. Thirteen patients died from their disease. The remaining patients have been kept free from obstruction and bleeding.

(Arch Surg 1986;121:1399-1403)