Ashbell I, Agam N, Katzir A, Basov S, Platkov M, Avital I, Nisky I, Netz U. Laser tissue soldering of the gastrointestinal tract: A systematic review LTS of the gastrointestinal tract.
Heliyon 2023;
9:e16018. [PMID:
37205994 PMCID:
PMC10189270 DOI:
10.1016/j.heliyon.2023.e16018]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Revised: 04/24/2023] [Accepted: 04/28/2023] [Indexed: 05/21/2023] Open
Abstract
Background
Laser Tissue Soldering (LTS) is a promising tissue bonding technique in which a solder is applied between the tissues and then irradiated by laser, causing it to solidify and form links with the tissue.
Methods
A comprehensive systematic review summarizing the state of research of LTS in the gastrointestinal tract.
Results
Most studies were conducted on large animal tissues, using liquid proteinaceous solder, and irradiated by a continuous wave laser at 808 nm. LTS can provide better sealing and burst pressure than conventional methods. The application of LTS on top of or in addition to sutures showed an impressive increase in burst pressures. LTS may decrease the inflammatory and foreign body reaction caused by sutures.
Conclusions
LTS has strong potential to be applied in a clinical setting in leak prevention and in closure of gastrointestinal structures as an adjunct or additional anastomotic technology, decreasing leak rates, morbidity, and mortality.
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