Clinical evaluation of non small-cell luny cancer operated by autofluorescence bronchoscopy
10.3760/cma.j.issn.1008-6706.2012.16.002
- VernacularTitle:自荧光支气管镜用于非小细胞肺癌手术评估的临床观察
- Author:
Hairong LIAN
;
Liming CAI
;
Fang ZHANG
;
Feng JIANG
;
Qingjun YOU
- Publication Type:Journal Article
- Keywords:
Autofluorescence bronchoscopy;
Sleeve resection;
Bronchoscopy;
Non-small cell lung,cancer
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(16):2403-2404,后插1
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the role of autofluorescence bronchoscopy in lung cancer operation and the meaning of choice lung cancer operation mode.MethodsTo retrospectively analyze 32 non-small cell lung cancer patients.Before lung cancer operation,white light bronchoscopy (WLB) and autofluorescence bronchoscopy (AFB) had been done routinely.Compared the different invasive tumor conditions by WLB and AFB,operation modes were decided by the edge of the tumor which were proved by biopsy pathology.ResultsIn 32 cases,19 cases underwent pulmonary lobectomy.One case underwent carinal resection and reconstruction.8 cases underwent sleeve lobectomy.4 cases underwent other therapy because of tumor airway metastasis.In 8 cases which underwent sleeve lobectomy,3 ca ses were found by WLB and AFB together,5 cases were found only by AFB.In 4 cases who had no operation chance,2 cases were found by WLB and AFB together,2 cases were only by AFB.The sensitivity for the detection of bronchial premalignant lesions was extremelyhigher withthe addition of AFB than WLBalone ( P ＜ 0.05 ).ConclusionAutofluorescence bronchoscopy is a safe and efficient technique which could improve the sensitivity of diagnosis in lung cancer than WLB.It is important to select operation mode.
