Endoscopic Surgery of the Broncho-esophageal Disease. Treatment of Tracheobronchial Obstruction with Rigid Bronchoscopy.

概要

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A method of endoscopic treatment via rigid bronchoscopy for treatment of tracheobronchial obstruction due to malignant tumor was discussed.<BR>Five cases involving the trachea, one case involving the tracheobronchus and 5 cases involving the main stem bronchi were treated with a Dumon bronchoscope (EFER, France) under general anesthesia from 1992 to 1995.<BR>Three cases of Nd : YAG laser irradiation to the endoluminal mass and 6 cases of Dumon stent to the extrinsic compression were performed successfully, and each airway obstruction was rapidly relieved. The quality of life was improved in these cases, however 2 other cases had a difficulty in stent fixation.<BR>Endoscopic treatment with a rigid scope is a safe and successful procedure because it maintains a good airway with a large open tube and is more comfortable for the patients, especially for those with a significant or life-threatening obstruction of a major airway.<BR>Bronchoscopists should use rigid bronchoscopes as well as flexible bronchoscopes in treating airway obstructions.
特定非営利活動法人日本気管食道科学会の論文