Endobronchial resection with the Nd-YAG laser--two years experience in an Australian unit

Australian and New Zealand Journal of Medicine
R PierceF J Daniel

Abstract

In a two year period 44 endobronchial resections using the Neodymium-YAG laser have been performed in 28 patients. The majority of cases had either bronchogenic carcinoma (57%) or metastatic carcinoma (18%) involving the bronchial tree. Adenoid cystic carcinoma, benign tumours, lymphoma, tracheal papillomatosis, Wegener's granulomatosis and benign stricture comprised the other cases. Rigid bronchoscopy and general anaesthesia were used in the majority. Symptomatic improvement of dyspnoea when relief of bronchial obstruction occurred was marked in ten of 17 cases, moderate in four and absent in three. Haemoptysis was markedly improved in two of three cases and obstructive pneumonitis resolved in one of two cases. Significant respiratory function improvement was observed in Raw (most sensitive), FEV11, FVC and TLC. Laser treatment restored the lumen to normal calibre in 52% (including all patients with tracheal lesions), to greater than half normal in 28% and to less than half normal in 20% of cases. Re-expansion of a collapsed lung or lobe occurred in seven of eight patients. In six of these patients laser treatment was the initial therapy resulting in immediate re-expansion and symptomatic relief prior to further therapy. In pa...Continue Reading

References

Apr 1, 1985·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·S ShapshayJ Beamis
Jan 1, 1985·Lasers in Surgery and Medicine·P R JainJ C Frich
Jul 1, 1985·Thorax·A B MillarM R Hetzel
Mar 1, 1985·Endoscopy·R Dierkesmann, A Huzly
Jan 1, 1983·British Medical Journal·M R HetzelI P Williams
Mar 19, 1983·British Medical Journal·G Vourc'hL Toty

Citations

Sep 10, 2003·The Annals of Thoracic Surgery·Bahram KianiPatrick Ross
Oct 1, 1990·Australian and New Zealand Journal of Medicine·R Pierce
Apr 6, 2007·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Charles C HanGavin M Wright
May 4, 2006·Lasers in Surgery and Medicine·Cynthia M MagroPatrick Ross
Mar 30, 2006·Journal of Family Psychology : JFP : Journal of the Division of Family Psychology of the American Psychological Association (Division 43)·Douglas BarnettHeather C Janisse
Oct 1, 2009·Journal of Bronchology & Interventional Pulmonology·Chakravarthy ReddyArmin Ernst
Jun 11, 2019·Multidisciplinary Respiratory Medicine·Giacomo GhinassiDomenico Aronne

Related Concepts

Bronchial Neoplasms
Bronchoscopic Surgical Procedures
Bronchogenic Carcinoma
Malignant Neoplasm of Lung
Palliative Surgery
Repeat Surgery
Respiratory Function Tests
Tracheal Neoplasms
Laser Surgery

Related Feeds

Carcinoma, Bronchogenic

Bronchogenic Carcinoma is a malignant lung cancer arising in the epithelium of the bronchus or bronchiole. Discover the latest research on Bronchogenic Carcinoma here.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.