Abstract
The rigid bronchoscope has been the mainstay of therapy for resecting obstructive neoplasms of the trachea and main-stem bronchi. A technique using the rigid bronchoscope and simultaneously a flexible scope allows for the advantages of rigid bronchoscopy with the advantages of highly accurate fiber-directed laser resections via the flexible scope. Patient selection is discussed so that candidates for laser resection will receive maximum palliative benefit. A detailed description of the technique and potential hazards of the procedure is presented. The rigid bronchoscope has been the mainstay of therapy for resecting obstructive neoplasms of the trachea and main-stem bronchi. A technique using the rigid bronchoscope and simultaneously a flexible scope allows for the advantages of rigid bronchoscopy with the advantages of highly accurate fiber-directed laser resections via the flexible scope. Patient selection is discussed so that candidates for laser resection will receive maximum palliative benefit. A detailed description of the technique and potential hazards of the procedure is presented.
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