Therapeutic bronchoscopy interventions before surgical resection of lung cancer

The Annals of Thoracic Surgery
Prashant N ChhajedFelix J F Herth

Abstract

Therapeutic bronchoscopy is used for endobronchial staging of lung cancer and symptomatic relief of central airway obstruction or postobstructive pneumonia. The aim of this study was to assess the utility of therapeutic bronchoscopy as a complementary tool in the combined bronchoscopic and surgical management of malignant airway lesions before curative lung surgery. Seventy-four consecutive patients with nonsmall cell lung carcinoma undergoing a therapeutic bronchoscopy procedure followed by surgery with a curative intent were included. A single interventional bronchoscopic method was used in 27 patients (36%) and a combination of methods in 47 patients (64%). Median forced expiratory volume in 1 second (FEV1) before and after bronchoscopy were 1.7 L and 2.2 L, respectively, and forced vital capacity (FVC) was 2.5 L and 3.3 L, respectively. Sleeve upper lobectomy was performed in 22 patients (30%), sleeve upper bilobectomy in 16 patients (22%), lower bilobectomy in 2 patients (3%), pneumonectomy with sleeve resection in 2 patients (3%), and pneumonectomy in 28 patients (38%). The following surgeries were performed in 1 patient each: sleeve middle lobectomy, sleeve lower lobectomy, carina resection and complex reconstruction, an...Continue Reading

References

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Citations

May 23, 2014·Advances in Therapy·Patrick D Mitchell, Marcus P Kennedy
Dec 15, 2010·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·P Leland OviattAlain Tremblay
Oct 8, 2013·The Annals of Thoracic Surgery·Nicolas GuibertChristophe Hermant
Nov 8, 2011·Clinics in Chest Medicine·Jonathan Puchalski, David Feller-Kopman
Mar 27, 2007·The Journal of Thoracic and Cardiovascular Surgery·Hes A P BrokxTom G Sutedja
Sep 2, 2015·European Respiratory Review : an Official Journal of the European Respiratory Society·Nicolas GuibertChristophe Hermant
Apr 24, 2013·Journal of Bronchology & Interventional Pulmonology·Gella VishwanathRitesh Agarwal
Dec 5, 2012·Journal of Bronchology & Interventional Pulmonology·Michael Machuzak
Mar 24, 2018·Indian Journal of Pathology & Microbiology·Ketaki UtpatJyotsna M Joshi
Jun 14, 2019·Annals of the American Thoracic Society·Udit ChaddhaSeptimiu Murgu
Feb 29, 2020·Lung India : Official Organ of Indian Chest Society·Ajmal KhanAlok Nath
Apr 24, 2019·ERJ Open Research·Justin L GarnerPallav L Shah

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