Bronchial carcinoid treated by bronchoplasty after laser therapy ; a case report

概要

論文の詳細を見る
A 25-year-old male complaining of fever and cough was admitted to our hospital.<BR>Bronchofiberscopy revealed a polypoid tumor nearly obstructing the right main bronchus. Biopsy of the tumor proved it to be a bronchial carcinoid. Endoscopic Nd-YAG laser treatment was done to identify the base of the polyp and the extent of tumor involvement before operation. After the laser delivery of 13276 Joules in three times the obstruction was relieved. To preserve pulmonary function, a bronchoplastic procedure was performed as follows : the truncus intermedius was cut just above the middle lobe bronchus, then the right main bronchus was cut below the upper lobe bronchus to remove the tumor. The resected edge proved to be tumor free by frozen section during the operation. Preoperative laser treatment for polypoid bronchial neoplasms may be useful in preserving pulmonary functions by effective bronchoplasty
特定非営利活動法人日本呼吸器外科学会の論文