The experience of endoscopic surgery in the treatment of benign and malignant airway tumors

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OBJECTIVE

To evaluate the possibility of endoscopic treatment in patients with bronchial tumors

MATERIAL AND METHODS

Endoscopic diagnosis and endoscopic surgical interventions were made in 41 patients with tracheal or bronchial tumors: benign and malignant ones were identified in 29 (70.7%) and 12 (29.3%) cases, respectively. Among the patients there were 30 males and 11 females aged 17 to 70 years (mean age 51.51±14.28 years).

RESULTS

Endoscopic surgery using mechanical removal or loop electrosurgical excision was performed in the treatment of patients with benign tumors. Stenting was used in 6 (50%) patients with malignant tumors. At the same time, self-expandable metallic stents were installed in 4 patients; Dumon silicone stents were placed in 2 patients. Other endoscopic surgical techniques were used in the remaining 6 patients. No complications were noted after the intervention. Reoperations were done in 3 (7.3%) patients due to tumor recurrence.

CONCLUSION

Endoscopic interventions in patients with benign and malignant bronchial tumors can effectively and relatively safely restore and maintain airway patency, fundamentally changing (up to a complete cure in benign tumors), or substantially improving their quality of life.

Keywords:

endoscopic surgery

lung cancer

video-assisted bronchoscopy

bronchial stenting

rigid bronchoscopy

Authors:

Drobayzgin E.A.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital;
Meshalkin National Medical Research Center

ORCID: 0000-0002-3690-1316

Chikinev Yu.V.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital

ORCID: 0000-0002-6795-6678

Krasilnikov S.E.

Novosibirsk State Medical University of the Ministry of Health of Russia;
Academician E.N. Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation

Received:

12.12.2021

Accepted:

10.01.2022

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