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In this study a novel therapeutic bronchoscopic technique, balloon bronchoplasty with resector balloon, was used in 128 procedures for 112 consecutive patients with airway obstruction from lung cancer or granulation tissue. All procedures, except 4, were performed with a rigid bronchoscope under general anesthesia. The remainder were performed with a flexible bronchoscope under local anesthesia. In all procedures, balloon bronchoplasty was the primary method and we achieved 100% success with no major immediate or long-term complications. The technique also facilitated submucosal and distal tumor resection. We found balloon bronchoplasty using resector balloon to be a safe, effective, fast, easy, and potentially cost-effective method in the management of airway obstruction from endobronchial submucosal lesions.

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We evaluated the effects and results of our endobronchial treatment modalities in 13 patients whose oncologic treatments were stopped because of postobstructive pneumonia and atelectasis due to left secondary carinal tumor. Three of the patients were females and 10 of them were males. The mean age was 55 years (49-63). The diagnosis was metastatic lung cancer in 2 cases, small cell lung cancer in 1 case and non-small cell lung cancer in 10 cases. In all cases chemotherapeutic agents were stopped due to postobstructive pneumonia and fever; radiotherapy could not be applied because of atelectasis. Endobronchial treatments were performed for tumoral lesion in left secondary carinal region and modified y-stents were implanted. The relief of the postobstructive pneumonia and atelectasis were provided in 12 of the cases. In these cases, radiotherapy and chemotherapy treatments were initiated. Therapeutic bronchoscopic procedures are used in lung cancer cases routinly, but no y-stent implantation for secondary carinal lesions are reported. We believe that this procedure will provide a chance to treat lung cancer patients.