[Endoscopic surgery of trachea and bronchi]

Area of Science:

• Pulmonology
• Oncology
• Laser Surgery

Background:

• Tracheal and bronchial tumors, both malignant and benign, present significant clinical challenges.
• Endoscopic laser operation (ELO) has emerged as a minimally invasive therapeutic option.

Purpose of the Study:

• To summarize over twenty years of experience with endoscopic laser operations (ELO) for tracheal and bronchial tumors.
• To evaluate the technical possibilities of Nd-YAG laser in this context.
• To assess the immediate and long-term results of ELO and combined treatment modalities.

Main Methods:

• Review of over twenty years of performance data for endoscopic laser operations (ELO).
• Analysis of patient data including tumor stage (I-IV) and type (cancer, adenoma).
• Demonstration of Nd-YAG laser technical capabilities.

Main Results:

• ELO was performed on 600+ patients with malignant tumors (3 Stage I-II, 384 Stage III, 205 Stage IV) and 13 with benign adenomas.
• Nd-YAG laser demonstrated technical feasibility for these procedures.
• Immediate and follow-up results of operative interventions were analyzed.

Conclusions:

• Endoscopic laser operation (ELO) is a viable treatment for malignant and benign tracheal and bronchial tumors.
• Combined treatment strategies, including ELO followed by radiation therapy and chemotherapy, offer potential for improved outcomes.