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Use of bronchoscopic CO2 laser in palliation of obstruction tracheobronchial malignancy

Published online by Cambridge University Press:  29 June 2007

V. Oswal ,
L. M. Flood  and
R. W. Ruckley
V. Oswal*
Affiliation:
Middlesborough
L. M. Flood
Affiliation:
Middlesborough
R. W. Ruckley
Affiliation:
Middlesborough
*
Mr. V. H. Oswal, Consultant ENT Surgeon, North Riding Infirmary, Middlesborough, Cleveland, TS1 5JE.
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Abstract

A review of 15 patients, who underwent 34 CO2 laser bronchoscopic procedures, over a 2-year period, is presented. All had malignancies of the tracheobronchial tree and underwent laser surgery to palliate breathlessness or haemoptysis. Partially obstructing and more proximal tumours proved more easily manageable. One quarter of the patients required repeat procedures and there were two deaths in the early post-operative period. The indications for such surgery, the technique and its limitations, and the palliation obtained are discussed.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 2 , February 1988 , pp. 159 - 162
Copyright
Copyright © JLO (1984) Limited 1988

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References

Allen, M. D., Baldwin, J. C., Fish, V. J., Goffinet, D. R., Cannon, W. B. and Mark, J. B. (1985) Combined laser therapy and endobronchial radiotherapy for unresectable lung carcinoma with bronchial obstruction. American Journal of Surgery, 150: 71–77.CrossRefGoogle ScholarPubMed
Balchum, O. J. and Doiron, D. R. (1985) Photoradiation therapy of endobronchial lung cancer. Clinics in Chest Medicine, 6: 255–275.CrossRefGoogle ScholarPubMed
Edmonstone, W. M., Nanson, E. M., Woodcock, A. A., Millard, F. J. and Hetzel, M. R. (1983) Life threatening haemoptysis controlled by laser photocoagulation. Thorax, 38: 788–789.CrossRefGoogle Scholar
Gillis, T. M., Shapsay, S. M., Vaughan, C. W., Simpson, G., Davis, K. and Strong, M. S. (1983) Laser bronchoscopic surgery. Journal of Otolaryngology, 12: 217–222.Google ScholarPubMed
Hetzel, M. R., Nixon, C., Edmonstone, W. M., Mitchell, D. M., Millard, F. J. C., Nanson, E. M., Woodcock, A. A., Bridges, C. E. and Humberstone, A. M. (1985) Laser therapy in 100 tracheobronchial tumours. Thorax, 40: 341–345.CrossRefGoogle ScholarPubMed
La Foret, E. G., Berger, R. L. and Vaughan, C. W. (1976) Carcinoma obstructing the trachea: Treatment by laser resection. New England Journal of Medicine, 294: 941.CrossRefGoogle Scholar
McElvein, R., and Zorn, G. L. (1984) Indications, results and complications of bronchoscopic carbon dioxide laser therapy. Annals of Surgery, 199: 522–525.CrossRefGoogle ScholarPubMed
Parr, G. V., Unger, M., Trout, R. G. and Atkinson, W. G. (1984) One hundred neodynium-YAG laser ablations of obstructing tracheal neoplasms. Annals of Thoracic Surgery, 38: 374–381.CrossRefGoogle Scholar
Shapsay, S. M., Beamis, J. F. and Shahian, D. M. (1985) The use of lasers in thoracic surgery, Chest, 87: 706.CrossRefGoogle Scholar
Shapsay, S. M., Dumon, J. F. and Beamis, J. F. (1985) Endoscopic treatment of tracheobronchial malignancy. Otolaryngology, Head and Neck Surgery, 93: 205–210.CrossRefGoogle Scholar
Strong, M. S., Vaughan, C. W., Polanyi, T. and Wallace, R. (1974) Bronchoscopic carbon dioxide laser energy. Annals of Otology, Rhinology and Laryngology, 83: 769–776.CrossRefGoogle Scholar
Toty, L., Personne, C., Colchen, A. and Vourch, G. (1981) Bronchoscopic management of tracheal lesions using the neodynium YAG laser. Thorax, 36: 175–178.CrossRefGoogle Scholar
Unger, M. (1984) Bronchoscopic utilization of the Nd-Yag laser for obstructing lesions of trachea and bronchi. Surgical Clinics of North America, 64(5): 931–938.CrossRefGoogle ScholarPubMed
Vourc'h, G., Gall, L. E. and Colchen, A. (1985) Pneumopericardium: an unusual complication of endotracheal laser surgery. British Journal of Anaesthesia, 57: 451–452.CrossRefGoogle ScholarPubMed