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Chest. 2000 Aug;118(2):516-21.

The heat is on: impact of endobronchial electrosurgery on the need for Nd-YAG laser photoresection.

Author information

1
Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, OH 44195, USA.

Abstract

STUDY OBJECTIVES:

Advances in bronchoscopic electrosurgery have allowed its application in the outpatient setting in patients who otherwise would have required Nd-YAG laser photoresection (LPR) in the operating room. We intended to evaluate the impact of endobronchial electrosurgery (EBES) on the need for Nd-YAG LPR on patients with symptomatic airway lesions.

DESIGN:

Prospective observational case series.

PARTICIPANTS:

One hundred eighteen evaluations for LPR were performed. Forty-seven evaluations (40%) were considered to be amendable to EBES and were treated during the initial bronchoscopy. The remaining patients underwent LPR.

SETTING:

Outpatient bronchoscopy suite at the Cleveland Clinic Foundation, Cleveland, OH.

RESULTS:

Of the 47 procedures, 42 (89%) were successful in alleviating the obstruction, thus eliminating the need for LPR. No major complications were encountered.

CONCLUSION:

EBES can be performed safely in the outpatient setting and is an effective procedure in treating select endobronchial lesions. EBES eliminated the need for LPR in 36% of such procedures with a potential for significant time and cost savings.

PMID:
10936149
DOI:
10.1378/chest.118.2.516
[Indexed for MEDLINE]

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