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

오인재; 권용수; 김규식; 이호성; 반희정; 임성철; 박용욱; 김영철; 이보람; 김유일

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자료유형: 학술저널

저자정보: 오인재 권용수 김규식 이호성 반희정 임성철 박용욱 김영철 이보람 김유일

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제8권 제4호

발행연도: 2015.1

수록면: 396 - 401 (6page)

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Objectives. Argon 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. Methods. Twenty 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. Results. The 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<0.001). The median American Thoracic Society dyspnea grade (3 [IQR, 1 to 4] vs. 1 [IQR, 0 to 1], P<0.001) and forced expiratory volume in one second (1.03 L [IQR, 0.52 to 1.36 L] vs. 1.98 L [IQR, 1.57 to 2.64 L], P=0.004) were significantly improved after intervention. There were no procedure-related acute complications and deaths. Conclusion. Rigid bronchoscopy with APC is an effective and safe procedure to alleviate central airway obstruction caused by tumors.

#Argon Plasma Coagulation #Bronchoscopy #Airway Obstruction

참고문헌 (25)

참고문헌 신청

Amjadi K / 2008 / Impact of interventional bronchoscopy on quality of life in malignant airway obstruction / Respiration 76 : 421 ~ 428

Bolliger CT / 2002 / ERS/ATS statement on interventional pulmonology. European Respiratory Society/American Thoracic Society / Eur Respir J 19 : 356 ~ 373

Bolliger CT / 2006 / Therapeutic bronchoscopy with immediate effect: laser, electrocautery, argon plasma coagulation and stents / Eur Respir J 27 (6) : 1258 ~ 1271

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Crosta C / 2001 / Endoscopic argon plasma coagulation for palliative treatment of malignant airway obstructions: early results in 47 cases / Lung Cancer 33 (1) : 75 ~ 80

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