Abstract
Ninety seven patients with tracheobronchial tumours have been treated with the neodymium yttrium-aluminium-garnet (Nd YAG) laser over a period of 33 months. Fifty one of these patients were treated under local anaesthesia and 46 under general anaesthesia. The results obtained with the two methods have been compared retrospectively. The numbers of patients responding to treatment, the magnitude of the response, and the duration of palliation were similar in the two groups; significantly more treatment sessions, however, were required during each course of treatment under local anaesthesia. This advantage of general anaesthesia was thought to arise from the ability to continue treatment for longer and with greater efficiency. The use of the rigid bronchoscope with jet ventilation under general anaesthesia was also thought to provide better control of the airway and to allow more efficient clearance of blood and mucus. Two operative deaths occurred under local anaesthesia, when bleeding led to asphyxiation, but none have occurred under general anaesthesia. Treatment under general anaesthesia is not, however, without risk and is potentially hazardous in patients with severe chronic hypoxic lung disease.
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Selected References
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- Dierkesmann R., Huzly A. Side effects of endobronchial laser treatment. Endoscopy. 1985 Mar;17(2):49–53. doi: 10.1055/s-2007-1018456. [DOI] [PubMed] [Google Scholar]
- Dumon J. F., Reboud E., Garbe L., Aucomte F., Meric B. Treatment of tracheobronchial lesions by laser photoresection. Chest. 1982 Mar;81(3):278–284. doi: 10.1378/chest.81.3.278. [DOI] [PubMed] [Google Scholar]
- Dumon J. F., Shapshay S., Bourcereau J., Cavaliere S., Meric B., Garbi N., Beamis J. Principles for safety in application of neodymium-YAG laser in bronchology. Chest. 1984 Aug;86(2):163–168. doi: 10.1378/chest.86.2.163. [DOI] [PubMed] [Google Scholar]
- Hetzel M. R., Nixon C., Edmondstone W. M., Mitchell D. M., Millard F. J., Nanson E. M., Woodcock A. A., Bridges C. E., Humberstone A. M. Laser therapy in 100 tracheobronchial tumours. Thorax. 1985 May;40(5):341–345. doi: 10.1136/thx.40.5.341. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McDougall J. C., Cortese D. A. Neodymium-YAG laser therapy of malignant airway obstruction. A preliminary report. Mayo Clin Proc. 1983 Jan;58(1):35–39. [PubMed] [Google Scholar]
- Toty L., Personne C., Colchen A., Vourc'h G. Bronchoscopic management of tracheal lesions using the neodynium yttrium aluminium garnet laser. Thorax. 1981 Mar;36(3):175–178. doi: 10.1136/thx.36.3.175. [DOI] [PMC free article] [PubMed] [Google Scholar]