Application of video-assisted rigid bronchoscopy in the treatment of benign tumors of tracheobronchus
- VernacularTitle:电视硬质气管镜治疗大气道良性肿瘤
- Author:
Yun LI
;
Jianfeng LI
;
Jun LIU
- Publication Type:Journal Article
- Keywords:
Video-assisted rigid bronchoscopy;
Tracheobronchus;
Benign tumors
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and safety of video-assisted rigid bronchoscopy in the treatment of benign tumors of tracheobronchus.Methods Seven patients with benign tumors of tracheobronchus were managed with video-assisted rigid bronchoscopic surgery in this hospital from September 2002 to April 2005.The endoscopic procedure was performed under general transvenous anesthesia and jet ventilation.The tumor was firstly frozen or electocoagulated for better bleeding control,and then was removed with a biopsy clamp by parts,with the pedicle treated with freezing,coagulation or argon plasma coagulation(APC).For tumors with a broad pedicle,after the bulk of tumor was ablated under bronchoscope,a conversion to open local resection was carried out.Results All the 7 operations was accomplished smoothly without mortality or severe morbidity.Except one patient with broad pedicle leiomyoma which was resected through thoracotomy after airway clean-up and intubation,all 6 patients with narrow pedicle tumors underwent a complete tumor removal endoscopically.Postoperative pathological reports confirmed the benign diagnosis as 2 cases of hamartoma,3 cases of leiomyoma,1 case of acidophilus granuloma,and 1 case of inflammation.Follow-up observations in the 7 patients for 3~36 months(mean,17.3 months) showed no recurrence.Conclusions Video-assisted rigid bronchoscopy in the treatment of benign tumors of tracheobronchus is safe and reliable.
