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Interventional bronchoscopy in the management of tracheo-bronchial lesions

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Chest Diseases

Advisors

Abdel-Hakim, Abdel-Hakim M. , Hatem, Ashraf M. , Shalabi, Alaa-El-Din A.

Authors

El-Surougi, Walid Muhammad

Accessioned

2017-03-30 06:21:57

Available

2017-03-30 06:21:57

type

M.D. Thesis

Abstract

This study includes thirty patients with various tracheobronchial lesions, all of which were candidates for therapeutic bronchoscopy. Table (3) shows the diagnosis of the thirty patients, six patients (20%) with tracheal lesions, four of them (13.3%) are of neoplastic aetiology and the other two patients (6.7%) are of non-neoplastic aetiology. The bronchial lesions are in the remaining twenty four patients (80%), seventeen of them (56.7%) are of neoplastic aetiology and the other seven cases (23.3%) are of non-neoplastic aetiology. The overall classifications are twenty one patients (70%) of neoplastic aetiology and nine patients of non-neoplastic aetiology. The chief complaints in this study are dyspnea, haemoptysis, chest pain, cough, choking and dysphagia. Both dyspnea and haemoptysis are the most common complaints, they represent together (66.6%) of the patients in this series. The procedures that were adopted in the management of the patient’s laser ablation were used in six patients (20%), electrocautery with contact mode in ten patients (33.3%), argon plasma coagulation in seven patients (23.3%). We used rigid bronchoscopy with laser and fiberoptic bronchoscopy with both electrocautery and argon plasma coagulation. Foreign body extraction was performed in five patients. Tracheal stenting was performed in one patient with cancer thyroid invading the trachea. Another patient, also with cancer thyroid invading the trachea was subjected to tumor shaving by the bevel of the rigid bronchoscopy. The overall outcome of this series is shown in table (5). Eleven patients out of the thirty (36.7%) were considered cured, nineteen (63.3%) were considered palliated, and none of them were considered as no change post-procedure.

Issued

1 Jan 2002

Details

Type

Thesis

Created At

31 Jan 2023