ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Endobronchial lesions cases treated with interventional bronchoscopic techniques: Our single-center experiences
Ahmet Ulusan1, İbrahim Emre Tunca1, Maruf Şanlı1, Ahmet Feridun Işık1
1Department of Thoracic Surgery, Gaziantep University Faculty of Medicine, Gaziantep, Turkey
DOI : 10.5606/tgkdc.dergisi.2020.18708
Background: In this study, we aimed to present our experience with interventional bronchoscopy in the treatment of endobronchial lesions in our clinic.

Methods: Between January 2010 and December 2018, a total of 18 patients (11 males, 7 females; mean age 55.1 years; range, 17 to 82 years) who were diagnosed with an endobronchial lesion using bronchoscopy in our clinic were retrospectively analyzed. Demographic characteristics, presenting symptoms, bronchoscopic procedure, location of the lesion, pathological diagnosis, treatment approaches, success of the bronchoscopic treatment, and follow-up outcomes of the patients were evaluated.

Results: Control bronchoscopy was performed in 14 patients and a second control bronchoscopy was performed in eight patients. The lesions were located in the right bronchial system in nine (50%), in the left bronchial system in six (33%), and in the trachea in three patients (17%). Except for one pregnant patient, all interventional procedures were performed with a rigid bronchoscope under general anesthesia. Distal areas which were unable to be reached with the rigid bronchoscope were evaluated by a flexible bronchoscope. There were no complications in any of the patients. At the end of the study, the final control biopsies of all patients were found to be normal. The success rate of interventional bronchoscopic methods was 100%.

Conclusion: Interventional bronchoscopic methods are the most effective procedures in the diagnosis and treatment of bronchial lesions with a high success rate. Based on our study findings, we suggest that bronchoscopic methods should be preferred as the first-line treatment of benign and selected some malignant endobronchial lesions.

Keywords : Bronchoscope, case series, endobronchial lesion
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