Video Endoscopy for Laser Photoresection in Tracheobronchial Pathology: Some Considerations After 9 Years Experience With 2105 Treatments

Jose Pablo Diaz-Jimenez,Maria Jesus Castro Serrano,K Shirakura,Eva Farrero Muñoz,Kevin L Kovitz,Jose Ignacio Martinez Ballarin

doi:10.1155/dte.2.79

Jose Pablo Diaz-Jimenez, Maria Jesus Castro Serrano + Show 4 more

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https://doi.org/10.1155/dte.2.79

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Abstract

Between 1984 and 1993 we performed 2105 laser treatments in 1210 patients: 52% of treatments were done for malignant pathology, 45% for benign tracheal stenoses and 3% were in a miscellaneous group. The procedure was carried out with a rigid bronchoscope under general anaesthesia. In patients with malignant tumors, it is a good palliative treatment—safe, well tolerated and with immediate results; it can be repeated as many times as needed with and is well accepted by the patient. In patients without tumors, this method avoids emergency tracheotomies. The long term results are now under evaluation.

Highlights

IntroductionSince the 1980’s, laser bronchoscopy has reached its apogee, as demonstrated in the extensive
As laser photoresection is almost always a palliative rather than a curative procedure, immediate results were classified as excellent, good or poor according to initial improvement of symptoms and airway diameter
In the past 2 years, we placed a total of 125 stents for both malignant tumors (84/68%) and benign tracheal stenosis (41/32%) (Fig. 4)

Summary

Introduction

Since the 1980’s, laser bronchoscopy has reached its apogee, as demonstrated in the extensive. This report presents some connate, through endoscopic methods, large tumoral or ia- siderations after 9 years experience with 2015 procedures. Years later that of the 14 patients that they had considered adequately treated, 50% were cured or free of symptoms [2]. Between 1984 and 1993 we performed a total of 2105 treatments in 1210 patients (Fig. 1). These consisted of 1094 (52%) treatments for tumors, 947 (45%) for tracheal stenosis and 64 (3%) treatments for a miscellaneous group that included granulomas, small recurrences of bronchial carcinoma on suture scars, management of local bleeding and dislodgement of impacted foreign bodies. Since the use of lasers in the tracheobronchial tree has con-

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