Usefulness of Rigid Bronchoscopic Intervention Using Argon Plasma Coagulation for Central Airway Tumors

Autor: Bo-Ram Lee, In-Jae Oh, Ho-Sung Lee, Hee-Jung Ban, Kyu-Sik Kim, Yu-Il Kim, Sung-Chul Lim, Young-Chul Kim, Yong-Wook Park, Yong-Soo Kwon
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Clinical and Experimental Otorhinolaryngology, Vol 8, Iss 4, Pp 396-401 (2015)
Druh dokumentu: article
ISSN: 1976-8710
2005-0720
DOI: 10.3342/ceo.2015.8.4.396
Popis: ObjectivesArgon plasma coagulation (APC) is a noncontact form of electrocautery that utilizes ionized argon as the electrical current. A rigid bronchoscopic use of APC for the management of central airway obstruction could be safe and rapidly effective. This study evaluated the usefulness of rigid bronchoscopy with APC for the management of central airway obstructions due to benign or malignant tumors.MethodsTwenty patients with obstructing central airway tumors were retrospectively reviewed from February 2008 to February 2013 at Chonnam National University Hospital. All patients received rigid bronchoscopic tumor removal under general anesthesia. APC was applied before and after tumor removal.ResultsThe median age of patients was 59 years (interquartile range [IQR], 51 to 67 years) and 70% were female. The causes of airway obstruction included malignancy (n=8) and benign tumor (n=12). Airway tumors comprised intraluminal lesions (n=11, 55%) and mixed intraluminal/extraluminal lesions (n=9, 45%). The median tumor size was 15 mm (IQR, 10 to 18 mm). The median degree of airway obstruction was significantly reduced after intervention (90% [IQR, 88% to 96%] vs. 10% [IQR, 0% to 20%], P
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