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[Palliative intrabronchial laser treatment of malignant bronchial stenosis using the fiberbronchoscope].

Authors
Type
Published Article
Journal
Fortschritte der Medizin
Publication Date
Volume
101
Issue
23
Pages
1084–1090
Identifiers
PMID: 6193045
Source
Medline
License
Unknown

Abstract

During a period of 15 months we performed a laser therapy of bronchi stenosis due to malignant tumors in 28 patients. We used a Neodym-YAG-Laser (MBB-AT, Munich), guided through a fiberbronchoscope (Olympus BF-1 TR). 59% of total-stenoses and 83% of the partly occluded bronchi could be opened sufficiently. During a follow-up period of 12 months (mean 4.7 m) 83% of the bronchi remained open. According to our experience, fractional tissue removal is the method of choice rather than all-at-once coagulation since tissue edema may cause bronchial occlusion 1 to 3 days after treatment. We think, if surgical treatment is ruled out, intrabronchial laser coagulation is an alternative with little impairment of the patient to prevent hypoventilation and repair functional conditions.

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