PMID: 6708392Jan 16, 1984

Endobronchial laser therapy--differential therapeutic use and clinical value

Klinische Wochenschrift
K HäussingerR Huber

Abstract

Endobronchial laser irradiation was performed on 27 patients with inoperable malignant (n = 23) and benign (n = 4) disease of the bronchial system for the treatment of recurrent pulmonary bleeding and recanalization of centrally obstructed or stenosed airways. The essentially palliative measure led in more than half the patients with hemoptysis to immediate and lasting hemostasis, in all patients with stenosis to complete or partial restoration of airway patency, and in 7 of 11 patients with total obstruction to a radiologically verifiable re-expansion of atelectasis. In the total of 58 laser treatments performed, complications occurred in three cases and were managed by conventional clinical measures. Successful recanalization in patients with pre-existing bronchial obstruction presupposes a short-segment, polypous tumor growth, intact bronchial wall structures, and short occlusion time. In addition to the treatment and prophylaxis of recurrent pulmonary bleeding, the principal use of endobronchial laser treatment in the future will probably concentrate on the palliative therapy of preocclusive stenoses of the trachea and main bronchi.

References

Apr 22, 1976·The New England Journal of Medicine·E G LaforetC W Vaughan
Jan 1, 1983·British Medical Journal·M R HetzelI P Williams
Jun 1, 1982·Epilepsia·I H PatelL M Ojemann

Citations

Sep 28, 2006·Lasers in Medical Science·K Moghissi, K Dixon
May 1, 1985·Thorax·M R HetzelA M Humberstone
May 1, 1991·Thorax·M R Hetzel, S G Smith
Jan 1, 2005·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Axel Rolle, Arpad Pereszlenyi
Jan 1, 1986·Lasers in Surgery and Medicine·S J KaoK Hsu

Related Concepts

Bronchial Diseases
Bronchoscopic Surgical Procedures
Bronchogenic Carcinoma
Hemorrhage
Malignant Neoplasm of Lung
Tracheal Diseases
Laser Surgery

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