Fibreoptic bronchoscopic electrosurgery under local anaesthesia for rapid palliation in patients with central airway malignancies: a preliminary report.

Sutedja, G.; Kralingen, Klaas van; Schramel, Franz M.N.H.; Postmus, Pieter E.

doi:10.1136/thx.49.12.1243

Cited by 94 publications

(57 citation statements)

References 9 publications

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“…The obvious advantages of electrocautery were not fully appreciated until cost-effectiveness became increasingly important [61,62]. In palliative interventional pulmonology, various available methods can currently be applied.…”

Section: Clinical Experience and Resultsmentioning

confidence: 99%

“…Cryotherapy, brachytherapy and PDT are, therefore, less appropriate. Electrocautery and argon plasma coagulation are straightforward techniques enabling simpler clinical application than Nd-YAG laser [61][62][63][64][65]. Therefore, it is logical to extend the use of such a simple technique in treating local tumour growth for superficial early stage cancer in the central airways, as theoretical concepts behind early detection, staging and treatment are more important, rather than focusing on treatment technique per se as a separate entity [9,13,17,18].…”

Section: Clinical Experience and Resultsmentioning

confidence: 99%

“…4). Maintenance cost is low, re-usable applicators are cheap, while the principle is straightforward and easy to comprehend, especially in comparison to Nd-YAG laser which is the most popular technique in larger institutions [59][60][61]. The contact mode, i.e.…”

Section: Equipment and Technical Backgroundmentioning

confidence: 99%

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Therapeutic bronchoscopy with immediate effect: laser, electrocautery, argon plasma coagulation and stents

Bolliger¹

2006

Eur Respir J

339

276

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Minimally invasive diagnostic and therapeutic approaches in medicine have been applied for a more selective and tailored approach to reduce patients' morbidity and mortality. The efficacy of interventional pulmonology for palliation of patients with central airways obstruction has been established and its curative potential for intralesional treatment of early cancer has raised great interest in current screening programmes. This is due to the fact that surgical resection and systemic nodal dissection as the gold standard is relatively morbid and risky, especially when dealing with individuals with limited functional reserves due to smoking-related comorbidities, such as chronic obstructive pulmonary disease. Furthermore, such comorbidities have been proven to harbour early stage lesions of several millimetres in size without involvement of nodal disease that may be amenable to local bronchoscopic treatment.Therefore, the success of minimally invasive strategies for palliation and treatment with curative intent strongly depends on the diligent identification of the various factors in lung cancer management, including full comprehension of the limits and potential of each particular technique. Maximal preservation of quality of life is a prerequisite in successfully dealing with individuals at risk of harbouring asymptomatic early lung cancer, to prevent aggressive surgical diagnostic and therapeutic strategies since overdiagnosis remains an issue that is heavily debated.In the palliative setting of alleviating central airway obstruction, laser resection, electrocautery, argon plasma coagulation and stenting are techniques that can provide immediate relief, in contrast to cryotherapy, brachytherapy and photodynamic therapy with delayed effects. With curative intent, intraluminal techniques that easily coagulate early stage cancer lesions will increase the implementation of interventional pulmonology for benign and relatively benign diseases, as well as early cancer lesions and its precursors at their earliest stage of disease.

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Section: Clinical Experience and Resultsmentioning

confidence: 99%

Section: Clinical Experience and Resultsmentioning

confidence: 99%

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Therapeutic bronchoscopy with immediate effect: laser, electrocautery, argon plasma coagulation and stents

Bolliger¹

2006

Eur Respir J

339

276

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“…Results from several small studies (Table 2) attest to the feasibility and excellent early palliative results of EE in patients with airway obstruction (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Although no randomized studies exist, success rates appear similar to those in studies using Nd:YAG laser photocoagulation (16).…”

Section: Literature Review Results With Eementioning

confidence: 82%

“…Indications for EE mirror those for neodymium:yttriumaluminum-garnet (Nd:YAG) laser photocoagulation, the most important being the rapid palliative treatment of malignant endobronchial obstruction of large airways (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Although it is generally agreed that complete airway obstruction is a contraindication to laser therapy, it is possible in a contact EE mode to treat lesions with 100% obstruction of the airway lumen with little risk of perforation.…”

Section: Patient Selection Indications and Contraindicationsmentioning

confidence: 99%

Endobronchial Electrocautery and Argon Plasma Coagulation: A Practical Approach

Tremblay

Marquette

2004

Canadian Respiratory Journal

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The present review covers the technical and practical aspects of endobronchial electrocautery, including argon plasma coagulation, which have great potential for widespread use by pulmonologists around the world. The various electrocautery modes, power settings and electrode probes are described in detail, and the authors' clinical and technical approach is demonstrated with a narrative description and brief case presentations. Malignant airway obstruction, hemoptysis, web-like stenosis, stent related granulation tissue and early lung carcinomas are the most common indications for treatment. Advantages of electrocautery, such as low cost, rapid effect, safety and ease of use, are contrasted to other endobronchial therapeutic modalities. Published experience with electrocautery is reviewed.

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Fire and Ice: Laser Bronchoscopy, Electrocautery and Cryotherapy

Jantz¹,

Silvestri²

2006

Thoracic Endoscopy: Advances in Interventional Pulmonology

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Fibreoptic bronchoscopic electrosurgery under local anaesthesia for rapid palliation in patients with central airway malignancies: a preliminary report.

Abstract: Background -Obstruction of a major airway by tumour causes serious morbidity.

Cited by 94 publications

References 9 publications

Therapeutic bronchoscopy with immediate effect: laser, electrocautery, argon plasma coagulation and stents

Therapeutic bronchoscopy with immediate effect: laser, electrocautery, argon plasma coagulation and stents

Endobronchial Electrocautery and Argon Plasma Coagulation: A Practical Approach

Fire and Ice: Laser Bronchoscopy, Electrocautery and Cryotherapy

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