Author/Editor		Triller, Nadja; Debeljak, Andrej
Title		Zdravljenje endobronhialnih tumorjev z elektrokavterjem
Translated title		Treatment of endobronchial tumors with electrocautery
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 70, št. 3
Publication year		2001
Volume		str. 139-41
Language		slo
Abstract		Background. We present our initial experiences with endobronchial electrosurgery. Patients and methods. We have studied with unresectable intraluminal tumours. Fifteen patients (12 men, 3women, median age 62 years, range 44-77) with endobronchial tumours were treated with electrocautery. They were admitted because of symptoms, caused by tracheobronchial obstruction. All procedures were performed under local anaesthesia with lidocain. We used flexible or rigid bronchoscopeand electrosurgical unit with unipolar blunt cautery probes. Results. Successful improvement has been obtained in 73% (11/15) of our patients. No major complications were encountered. Twelve of our patients were additionally treated with radiotherapy and/or chemotherapy. Conclusions. Our analysis demonstratesthat unresectable exophytic tracheobronchial tumours or benign tumours could be successfully removed by endobronchial electrosurgery through flexible or rigid bronchoscope. The procedure is simple. Immediate relief of symptoms improves patients quality of life.
Summary		Izhodišča. V prispevku so prikazane naše začetne izkušnje odstranjevanja endobronhialnih tumorjev z elektroresekcijo. Bolniki in metode. V analizo smo vključili bolnike, pri katerih smo endoskopsko ugotovili neoperabilni endobronhialni tumor. Zdravili smo 15 bolnikov (12 moških in 3 ženske, mediana 62 let, v razponu od 44-77). Sprejeti so bili zaradi oteženega dihanja. Vse bronhoskopije smo opravili v lokalni anesteziji z lidokainom. Uporabljali smo upogljivi bronhoskop ali togi bronhoskop ter elektroresekcijsko enoto z unipolarnimi elektrodami. Rezultati. Po elektroresekciji smo opazovali zadovoljivo izboljšanje pri 73% (11/15) bolnikov. Zapletov med ali po posegu ni bilo. Dvanajst bolnikov smo dodatno zdravili z radio-in/ali kemoterapijo. Zaključki. Endobronhialne maligne ali benigne tumorje, ki pomembno zapirajo dihalne poti, lahko hitro in učinkovito odstranimo z elektroresekcijo. Poseg je enostaven, opravimo ga lahko v lokalni anesteziji z upogljivim ali togim bronhoskopom. Bolniku lahko olajšamo dihanje in izboljšamo njegovo kakovost življenja.
Descriptors		BRONCHIAL NEOPLASMS ELECTROCOAGULATION LUNG NEOPLASMS BRONCHOSCOPY ELECTROSURGERY