[Palliative intrabronchial laser treatment of malignant bronchial stenosis using the fiberbronchoscope].
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.
D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D000368:Aged; D001984:Bronchial Neoplasms / Q000401:mortality / Q000556:secondary / Q000601:surgery*; D001999:Bronchoscopy / Q000379:methods*; D018288:Carcinoma, Small Cell / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D006801:Humans; D053685:Laser Therapy; D008875:Middle Aged; D010166:Palliative Care; D011183:Postoperative Complications
Palliative intrabronchiale Laser-Behandlung maligner Bronchusstenosen mit dem Fiberbronchoskop.