NEWS
Why Are So Few Doctors Using Lasers In Breast Cancer Surgery?
The use of lasers in eye, spine, brain etc., was deemed a necessity to the surgeon because of complications with the use of other surgical tools, for example a scalpel. It is difficult to retrain a surgeon in this technique. In laser surgery the surgeon uses a beam of light while simultaneously coordinating a foot petal. Tissue manipulation is minimized, affording patients many benefits, however, surgeons have to be completely retrained. This radical change in surgical technique requires motivation, time, proper training, and a financial commitment. Initially, training consists of a course in the engineering sciences of lasers and the surgical use of lasers in a laboratory setting. Instruction in a clinical setting follows and finally gradual exposure in a private practice designated to breast surgery. After retraining the surgeon, there is a large financial commitment to laser equipment. If standard breast surgeons are able to remove breast tissue successfully, what is the
motivation to retrain? The patient is the beneficiary in this surgical modality. There are many, many benefits as described by people with knowledge of lasers! These benefits are universal in surgery. When patients demand laser breast surgery, as they have in other areas of surgery, the average surgeon will deem it necessary to learn.
A Note From Dr. Ansanelli
Interactive development has become a positive influence in the treatment of breast cancer. As a surgeon, I have been rewarded by a team effort. My patients are educated to the advancements afforded to them by their research. The use of lasers in breast surgery is a prime example of the female movement. Women have taken the initiative to learn of newer modalities in the surgical care of their cancer. Prior to this, they would have depended wholly on their primary care giver.
Integrative-Alternative medical care has also been a benefit to the cancer patient in many cases. The interaction of a team approach has stimulated the women who have benefited from these advancements to become vocal advocates. I have seen these changes significantly improve my care of women with breast disease. Times have changed!
Vincent W. Ansanelli MD FACS


